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Episodes

Building, Scaling, and Transitioning an Emerging DSO

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July 24, 2026

Behind every transition is a story worth telling, and it’s about far more than the deal. What often goes unseen are the years spent building the business, the difficult decisions that come with growth, and the responsibility of leading a team through one of the most significant milestones in the company’s history.

In this episode of The Advisor’s Table, Brian and 7 Pillars Founding Partner, Brett Pierce, sit down with former CEO of Viridian Dental Partners, Alix Laurain to discuss the realities of scaling an organization and preparing for a transition.

Alix shares lessons she learned as she helped build, scale, and eventually transition Viridian Dental Partners. They talk through expectation management, communication, and staying aligned with different stakeholders throughout the process. Alix reveals aspects of the process she would have handled differently and shares her advice to DSO leaders considering a transition.

Key Takeaways for DSO Leaders:

  • Alignment starts at the very beginning.
  • When you build to sell, you need to understand what buyers are looking to buy.
  • Not having someone in the middle to help negotiate might be what breaks the deal.

Why this Matters for Dental Owners: 

In this episode, a former emerging DSO CEO shares her firsthand experience navigating growth, stakeholder expectations, and the transition process offering practice insights for leaders building toward their own next chapter.

"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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