DSO & Group Practices

By Spiro Leunes, CPA | CEO, MRL Advisory Group – New Jersey and New York Dental CPAs Scaling a dental practice from one location to multiple offices is one of the fastest ways to increase profit, build enterprise value, and reduce owner dependency. However, a multi-office dental business is not simply a larger practice. It requires standardized systems, consistent clinical protocols, a leadership bench, and centralized operations. Many multi-office practices decide to build

By Spiro Leunes, CPA | CEO, MRL Advisory Group – New Jersey and New York Dental CPAs If you are forming a Dental Support Organization or scaling into a multi-location dental group, the Management Services Agreement (MSA) is one of the most important documents you will ever sign. A properly structured MSA protects your clinical independence, reduces your tax burden, strengthens DSO EBITDA, and increases your long-term valuation. Keep the Clinical Side Completely Separate Corp

By Spiro Leunes, CPA | CEO, MRL Advisory Group – New Jersey and New York Dental CPAs Private equity activity in dentistry is booming again in 2025 — are you ready to capitalize on it? Dental Service Organizations (DSOs) are attracting major private equity investment, but today’s deals look a lot different than they did just a few years ago. We’re seeing: More flexible deal structures with equity participation Growing interest in specialty dental practices A big push for AI an

By Spiro Leunes, CPA | CEO, MRL Advisory Group – New Jersey and New York Dental CPAs The dental profession is undergoing one of its most significant shifts in decades. Where solo practices once dominated the landscape, today’s market is increasingly moving toward group practices—from dentist-led partnerships to multi-location operations and DSO-backed networks. This isn’t a temporary trend; it’s a structural transformation in how dentistry is practiced, managed, and monetized

Building a DSO: A Guide for Young Dentists By Spiro Leunes, CPA | CEO, MRL Advisory Group – New Jersey and New York Dental CPAs Expanding a dental practice into a Dental Service Organization (DSO) is an exciting opportunity for young dentists to scale operations, centralize non-clinical tasks, and improve efficiencies. Success requires strategic planning, compliance with legal and tax regulations, a robust marketing strategy, and building the right team. Additionally, the DSO

By Spiro Leunes, CPA | CEO, MRL Advisory Group – New Jersey and New York Dental CPAs In recent years, private equity (PE) investment in dental practices has surged, largely driven by the growth of Dental Support Organizations (DSOs). A private equity investor with a focus on the dental industry, may be asked: What makes a dental practice attractive to private equity? and How can a dentist prepare their practice for a successful acquisition? This blog post provides actionable

By Spiro Leunes, CPA | CEO, MRL Advisory Group – New Jersey and New York Dental CPAs The dental industry is undergoing a transformative shift, with private equity-backed Dental Service Organizations (DSOs) driving consolidation and innovation. For dental practice owners, this presents a critical question: Is it better to sell to a private equity-backed DSO or grow the practice independently and potentially form your own DSO? Both paths offer unique advantages and challenges,