Is a DSO Affiliation Right for Your Dental Practice?

The dental industry has seen a major shift in recent years as Dental Support Organizations (DSOs) continue to grow. For many practice owners, affiliating with a DSO can be an attractive option, but it’s not the right path for everyone. Understanding how DSOs work and what they offer is key to making the best decision for your future.

What Is a DSO?

A DSO provides administrative and business support to dental practices—handling HR, payroll, marketing, billing, and compliance—so dentists can focus on patient care. While the dentist retains clinical control, the DSO manages much of the behind-the-scenes business operations.

Why Consider a DSO Affiliation?

• Financial Security: DSOs often purchase practices at competitive multiples, giving owners a chance to maximize value at the time of sale.

• Operational Support: No more juggling HR, insurance, or vendor negotiations—the DSO takes care of it.

• Growth Opportunities: DSOs can provide resources for expansion, updated technology, and marketing support to help the practice grow faster.

• Flexible Transitions: Many DSO deals allow dentists to stay on as associates or phase into retirement gradually, creating a smoother transition.

Potential Drawbacks to Consider

• Less Autonomy: Some dentists find it challenging to give up business decision-making power.

• Culture Fit: Not all DSOs operate the same way. Finding one that aligns with your values and treatment philosophy is crucial.

• Complex Contracts: DSO agreements can be intricate, making expert guidance essential.

How to Decide If It’s Right for You

The choice to affiliate with a DSO depends on your personal and professional goals. Are you nearing retirement and looking to maximize your practice’s value? Or are you seeking support to reduce the stress of business ownership while continuing to practice dentistry?

How We Can Help

At Frye Practice Sales, we’ve helped countless dentists evaluate DSO offers, negotiate favorable terms, and decide whether affiliation is the best step forward. We understand the nuances of these deals and ensure that our clients transition confidently—with clarity and peace of mind.