HIGHBusinessTier 1

What will define the next era of DSOs?

SourceBecker's Dental + DSO ReviewTier 1Hard News

By Ariana Portalatin

Originally at beckersdental.com

Summary & scoring by The Bell Brief (Dr. Jennifer Bell) using the Drill-Down Protocol (Drill-Down Score) — not the original publisher.

Why it matters for dental

DSO strategy is shifting toward oral-systemic integration and partnership models; practice owners and DSO executives need to decide now whether to compete, partner, or sell as de novo builds and medical-dental collaboration become competitive advantages.

Key points

  • Mark Greenstein, EVP & Chief Growth Officer at Heartland Dental, identifies oral-systemic health integration, partnership demand, and continued de novo expansion as the three drivers of DSO growth over the next five years.
  • Heartland Dental operates ~1,700 supported practices; its growth blueprint is therefore likely to influence smaller DSOs and independent owners evaluating affiliation options.
  • Partnership demand signals rising interest from medical groups, payers, and specialists seeking co-owned entities rather than traditional affiliation agreements.
  • De novo expansion implies sustained capital deployment in new builds, increasing competition for real estate, staff, and patient acquisition in high-growth markets.

Who should care

OwnerDSO

Read the original on Becker's Dental + DSO Review

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