Is Selling to a DSO the Right Move for Your Practice?
The dental industry is at a tipping point. DSOs are booming, private equity is knocking, and many dentists are wondering: Should I sell?
There’s no universal answer, but there is a smarter way to think through the options. In our recent podcast episode, Ryan Isaac and Kiera Dent dug into the real questions dentists should be asking before making one of the biggest decisions of their careers.
What Does the Future of Private Practice Look Like?
Private equity-backed DSOs aren’t the only future for dentistry. In fact, many successful group practices are staying privately held, run by owner-doctors who still lead with strong values, culture, and clinical integrity.
- DSOs aren’t your only option.
- Privately held group practices are still viable and influential.
- You can run a thriving, modern practice without giving up ownership.
Can You Influence the Industry While Staying Independent?
Yes. Dentists still have more power than they may realize. Whether you’re inside a DSO or running an independent practice, how you lead and advocate matters.
? Create strong culture
? Prioritize ethical patient care
? Push for better systems, even within corporate models
I’ve personally worked with clients in large DSOs who’ve influenced top leadership, proving that even in corporate structures, positive change is possible.
Should You Take the DSO Deal Or Build the Life You Want Without Selling?
Before accepting any offer, ask:
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What’s my magic number for financial freedom?
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What will life look like after the sale?
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Could I create that life now—without giving up ownership?
In many cases, we’ve helped clients increase EBITDA, reduce overhead, and scale back their clinical days—all without selling. One client went from a 5-day grind to producing $5M+ a year in just two clinical days… and they kept their practice.
Before You Sell: Stress-Test the Deal
DSO offers often include:
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Cash Upfront
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Earn-Out Bonuses
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Equity Projections
But what if the equity never pays out? Can your plan still succeed? Always review deals with a professional who’s seen hundreds—not just your CPA friend.
Alternatives to Selling That Still Offer Freedom
Instead of selling your entire practice, consider:
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Partner buy-ins or associateships
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Internal transitions
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Hiring a consultant to streamline and scale
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Building a “Dream Practice” that runs without you
If you’re selling just for freedom or better income, those can be built today with the right systems.
Be the Dentist Who Leads With Intention
Whether you sell or stay, make the decision on your terms. Know your numbers. Get clear on your ideal lifestyle. And don’t be afraid to explore the path less traveled, it might be the one that leads you to more impact, more income, and more freedom.
Let’s make sure you’re building a profitable practice that serves your life, not the other way around.
To connect with us, schedule a call at TheDentalATeam.com.
Don't forget to check out our podcast for more tips!
Last updated: June 2025
Author: Jacintha Ham, Dental A Team