Episode 2 – Why Dentists Should Not Sell to a DSO

Episode 2 – Why Dentists Should Not Sell to a DSO

In this podcast episode, Bob and Nate discuss the reasons why dentists should not sell their dental practices to Dental Support Organizations (DSOs). Nate emphasizes the importance of owning a business and the wealth generated by owning productive assets, such as a dental practice. He also highlights the unique nature of dentistry, where the dentist's trained mind and hands are the product. Bob and Nate discuss the benefits of owning a dental practice, including control over how the work is done, freedom to manage time, and the ability to create and maintain the practice's culture. They acknowledge that owning a business comes with increased responsibility, but they believe it's worth it for those who have the desire and courage to take on the challenge.

Bob and Nate mention that many aspects of practice management that DSO’s tout they can take off a dentist-owners plate, such as accounting, payroll, HR support, and marketing, can be delegated or hired out. They stress the importance of investing in oneself and seeking coaching and consulting help to build a team that supports the dentist's vision while retaining ownership and control of the practice.

They share examples of successful dentists who have built thriving practices by delegating non-clinical tasks and focusing on their clinical expertise. They also discuss the downside of not delegating and being the bottleneck in practice growth. Ultimately, their experience shows selling to a DSO will almost always lead to making less money while having less control over the practice, and ultimately giving control of the dental industry to non-dentist business people who are ultimately in it to harvest profits, not care for patients or create healthy relationships with doctors or their teams.

Overall, the episode encourages dentists to retain ownership of their practices, embrace the challenges, and build a team that allows them to maintain control while enjoying the financial benefits of ownership. With any questions, please email us at questions@justsaynotothedso.com.

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Episoder(72)

Rookie Season: Why New Grads Should Just Say No to the DSO

Rookie Season: Why New Grads Should Just Say No to the DSO

In this episode of Just Say No to the DSO, hosts Bob and Nate tackle a letter from oral surgeon Louis D, unpacking whether new grads should join a DSO for quick reps or hold out for private practice. ...

6 Nov 37min

Musical Chairs, Crap Sandwiches, and the People Left Holding Them

Musical Chairs, Crap Sandwiches, and the People Left Holding Them

In this episode of Just Say No to the DSO, hosts Bob and Nate examine the current DSO landscape and the groups of people they do not envy: DSO management teams managing unhappy doctors, founders whose...

30 Okt 32min

Ethics Over Equity: Why “Who Pays the Most?” Is the Wrong Question

Ethics Over Equity: Why “Who Pays the Most?” Is the Wrong Question

In this episode of Just Say No to the DSO, hosts Bob and Nate take on the ethics of selling a dental practice, sparked by a lengthy Dentaltown post from Howard Farran that frames the decision almost e...

29 Okt 54min

Debriefing Dr. Whitney Weiner: Hype, Arbitrage, and the Icon Pitch

Debriefing Dr. Whitney Weiner: Hype, Arbitrage, and the Icon Pitch

In this episode of Just Say No to the DSO, hosts Bob and Nate debrief their recent conversation with Dr. Whitney Weiner, an influential periodontist and Chief Growth Officer at Icon. They examine her ...

16 Okt 38min

Billy Madison Energy: Dissecting Chip’s Walmart-and-Recession Pitch

Billy Madison Energy: Dissecting Chip’s Walmart-and-Recession Pitch

Nate and Bob open this episode of Just Say No to the DSO by dissecting a recent email from broker Chip Fitchner that treats Walmart’s quarterly numbers and the next recession as proof every dentist sh...

28 Sep 36min

The Fox in the Henhouse: Chip Fichtner, Fear, and Greed

The Fox in the Henhouse: Chip Fichtner, Fear, and Greed

Bob Speil and Nate Williams open with the starfish principle—one doctor who doesn’t sell is worth the whole podcast—then analogize DSO dealmaking to Big Tobacco: a fortune in getting people hooked, al...

4 Sep 52min

Two Sides of the Issue with Dr. Whitney Weiner

Two Sides of the Issue with Dr. Whitney Weiner

In this episode, Dr. Whitney Weiner shares her journey from private practice to joining ICON Dental Partners, discussing the motivations, challenges, and industry insights related to group dentistry a...

15 Aug 57min

Clawing His Way Back Out with Dr. Brad Langley

Clawing His Way Back Out with Dr. Brad Langley

This is a special Just Say No episode with a dentist who entered into a DSO and realized it was the wrong way forward for himself as his patients. Dr. Brad Langley recounts his tale of not only saying...

1 Aug 53min

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