Is Selling Your Dental Practice to a DSO the Right Move for You?
Paul Consani
on
September 26, 2025
The dental industry has changed rapidly over the past decade, and one of the most significant shifts is the rise of Dental Service Organizations (DSOs). These organizations propose to dentists a chance to step away from the day-to-day management of their practice through a quick sale and taking over admin support.
DSOs rarely have the best offering, but a sale to a DSO could be the best sales solution for you and your practice. If you decide to consider as sale to a DSO, It’s important to find the right DSO and to negotiate the right deal. You are going to want help.
Many dentists find themselves weighing the convenience of a DSO offer against what they may be giving up in the process. From a shift in decision-making power to changes in team dynamics and patient experience, the trade-offs can be significant.
Before you move forward, it’s important to take a step back and evaluate what matters most to you, not just financially, but personally and professionally.
Understanding the DSO Model
Before you ask, “Should I sell my dental practice to a DSO?” it helps to understand what a DSO really is.
A Dental Service Organization provides non-clinical support services to dental practices. This can include HR, billing, marketing, IT, and more. The idea is to allow dentists to focus on patient care while the DSO handles operations behind the scenes.
There are some benefits to selling to a DSO, such as:
- Relief from administrative responsibilities.
- Access to advanced technology and economies of scale.
Risks of Losing Your Practice’s Legacy Post-DSO Sale
Selling your practice to a DSO without a strategic plan can lead to:
- Brand dilution, where your recognizable practice name is replaced with a generic label.
- Culture clashes between corporate operations and your clinical philosophy.
- Team disruption, with longtime staff members feeling uncertain or undervalued.
- Patient confusion or mistrust, especially if changes aren’t communicated clearly.
These outcomes are often cited by practice owners who regret how their dental practice transition unfolded. However, with thoughtful preparation and the advice from an expert dental broker, these risks can be minimized.
Mistakes to Avoid During a DSO Sale
- Negotiating terms without a dental practice broker
- Not carefully reviewing post-sale requirements
- Choosing the wrong DSO
- Focusing only on the valuation and ignoring cultural alignment
With the right preparation, smart negotiations, and a trusted dental broker by your side, you can determine if a DSO sale is right for you.
Due Diligence: Choosing the Right DSO Partner
The key to a smooth and successful dental practice transition to a DSO is asking the right questions before signing anything.
This is where dental practice due diligence comes in. It’s not just about financials—it’s about making sure the DSO’s vision aligns with yours. Start by asking:
- Will my practice remain visible?
- What’s your approach to staff retention and morale?
- How much clinical decision-making authority will I retain?
- What’s your long-term vision for my practice?
Post-Sale Strategies to Keep the Heart of Your Practice Alive
- Stay visible in the community and maintain personal connections with patients.
- Encourage your team to continue delivering care with the same values and voice.
- Communicate proactively with patients about the transition. Honesty builds trust.
Just because ownership has changed doesn’t mean your values or patient relationships have to.
Explore Alternatives with a Trusted Dental Practice Broker
If you’re on the fence about selling to a DSO, you’re not alone. Many dentists find that working with a dental practice broker opens up a wider range of options, including private buyers who may be a better cultural fit and more willing to preserve your practice’s legacy.
An experienced dental practice broker, like the team at Consani Associates, can help you determine what’s truly best for you, not just what’s fastest or what looks intriguing on paper.
You Don’t Have to Decide Alone
Choosing to sell your dental practice is a major decision. Whether you’re just starting to explore the idea or actively considering a DSO offer, you deserve guidance that puts your priorities first.
At Consani Associates, we don’t believe in one-size-fits-all solutions. We’re here to help you explore every avenue, from a thorough dental practice appraisal to connecting you with qualified buyers who align with your values. We help sellers like you navigate complex dental practice due diligence, so you can maximize your value with favorable post-sale terms. Schedule a confidential consultation today.






