07/13/2026
DSOs are growing at 15–20% per year.
Independent dental ownership is declining.
Most people frame this as a competition problem.
It is not.
It is a systems problem.
DSOs don't have better dentists.
In most cases, independent dentists are clinically superior.
What DSOs have:
✓ Call centers that answer every call
✓ Automated reminders across all locations
✓ CRM systems tracking every patient interaction
✓ Marketing teams optimizing every channel
What most independent practices have:
One receptionist. One phone line.
One overloaded human being trying to do all of the above.
The gap is operational — not clinical.
And for the first time, independent practices can close that gap
without DSO overhead and without giving up their autonomy.
— Jeet Ramdas, MBBS · AI-Assisted CMO for Independent Practices
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