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Articles

Are All DSOs the Same?

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June 22, 2023
Are All DSOs the Same?

Dental Service Organizations (DSOs) have gained significant popularity in recent years. To many dental professionals, the draw to DSOs is their ability to help manage the business side of their practice. This allows the doctors to focus their efforts on providing quality care to their patients. DSOs offer a range of services, including administrative support, marketing, scheduling, patient outreach, and financial management. However, not all DSOs are created equal, and there are hundreds of options to choose from.

It is essential to work with a partner who understands the differences between them in order to make the right choice for yourself, your partners, your patients, and your employees. In this article, we explore the key factors to consider when evaluating DSOs and their unique value propositions.

Values and Culture

One of the first things to consider when choosing a DSO is the company’s values and culture. Each DSO operates differently, with its unique set of goals and priorities. Certain DSOs will prioritize profitability above all else, while others place greater emphasis on patient care and employee satisfaction. It’s crucial to align your values – both financial and non-financial – with those of the DSO you choose. Establishing a harmonious working relationship between yourself and your new partner will result in the best outcomes for your team and your patients.

Patient Experience

The patient experience is a top priority for any dental practice, whether independent or part of a DSO. When evaluating potential DSO partners, consider how they prioritize patient care, satisfaction, and loyalty. Look for DSOs that invest in modern technologies, offer comprehensive treatment options, and prioritize patient communication and education. A DSO that values the patient experience will not only attract and retain patients but also enhance your professional reputation.

Support and Resources

One of the primary benefits of joining a DSO is gaining access to their wide range of support and resources. Something to look out for is the extent and quality of their resources, which can vary depending on the DSO. Evaluate the level of support the DSO provides in these areas: access to supplies, marketing, IT infrastructure, human resources, and continuing education. Consider the resources your practice currently lacks and utilize those deficiencies to determine which DSO can best fill those gaps.

Autonomy and Decision Making

Maintaining clinical autonomy is important for many dental professionals. When examining DSO options, inquire about the level of autonomy you’ll have in making clinical decisions. Some DSOs allow dentists to operate independently within a set of established protocols, while others have more rigid guidelines in place. Find a balance that aligns with your professional outlook and allows you to continue to deliver the quality of care which your patients expect.

Employee Satisfaction

Your staff members play a crucial role in the success of your dental practice. In fact, DSOs will look at your current staff members when formulating their offers. Evaluate how a DSO will support and invest in the professional development and satisfaction of your team. Look for DSOs that provide ongoing training opportunities, promote a positive work environment, and maintain competitive compensation and benefits packages.

Financial Considerations

While joining a DSO can offer financial benefits, it’s essential to evaluate the financial aspects carefully. Compare the fee structure, revenue sharing model, and financial support provided by different DSOs. Consider how these factors align with your financial goals. Assess the DSO’s financial stability and track record to ensure that you’re entering into a partnership that will support your ongoing financial success.

Long-Term Partnership

Joining a DSO is a significant decision that has long-term implications for your dental practice. Evaluate the DSO’s track record, reputation, and future growth plans. Consider the length and terms of the partnership agreement, as well as any exit strategies available. Building a successful long-term partnership requires aligning your goals with those of the DSO and ensuring that both parties can thrive in the constantly evolving dental landscape.


Not all DSOs are the same, and choosing the right one requires careful evaluation and consideration. By assessing each of the factors discussed above, you can make an informed decision that benefits you, your patients, and your employees. Remember that the right DSO will align with your values, support your practice’s growth, and ultimately enhance the quality of care you provide to your patients.

"Everything I did with 7 Pillars was not only thorough, detailed, and well done, it was enjoyable. I really had a great time working with all of them...The peace of mind that I had knowing that every 'i' was dotted and every 't' was crossed and that I wasn't missing something was huge."
Dr. Kelly Toombs, DDSPractice Owner
Dr. Kelly Toombs, DDS
"I can't even imagine doing this process on my own... not only the negotiations way more than paid for itself, but just the process of due diligence—the way that 7 Pillars walked me through due diligence—I barely had to do anything... I highly recommend 7 Pillars. They were phenomenal."
Dr. Hilton Goldreich, DDSMulti-Location Practice Owner
Dr. Hilton Goldreich, DDS
"7 Pillars made sure that we knew what we were getting into, what to expect, and questions we didn't even know to ask and you know they had the answer before we even knew we needed them...I just couldn't imagine doing it by ourselves. I would recommend 7 Pillars to anybody going through this process."
Dr. Jason Montgomery, DDSPractice Owner
Dr. Jason Montgomery, DDS
"One of the things that really stood out to me was that they were very direct. They were very honest about what the process was going to look like, what our involvement was going to be, and also what to expect."
Alix LaurainCEO
"7 Pillars were not forcing us into the marketplace... they were really willing to value our practice, see if this makes sense for us, and provide us with the information ahead of time. 7 Pillars is to us what we are to our patient... they had the information, I could ask questions, I could do some research on my own if I wanted, but they were the experts."
Dr. Kimber Holmes, DDSPractice Owner
"7 Pillars gave me the whole picture. They understood my practice, they understood the offers, they broke it down to that next level so that I really understood what the deal was. We felt that even towards the end and after our transaction took place that everybody was still there still working to make sure that everything got put to bed... everything was done to a sublime level."
Dr. Joseph GrayPractice Owner
"Once they've got a feel for who you are and what your practice is, they can connect you with the right people. 7 Pillars just went over and beyond what I think anybody else would do to help, and that's what really stands out with them. If I had to do it all all over again, I wouldn't use anybody but 7 Pillars."
Dr. Richard BoatmanPractice Owner
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