Practice Transition Pros — Medical Practice Brokerage
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DSO or private buyer: which path fits?

A practical perspective for your next practice decision.

Practice Transition Pros · October 2026

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Different structures, different trade-offs

A private dentist may offer a direct ownership transition and closer clinical continuity. A DSO or group may offer operating support and a partial sale, but often expects an ongoing clinical commitment.

Compare what you actually receive

Cash at closing, deferred payments, earnouts and rollover equity are not interchangeable. Future payments and equity value depend on conditions and risk. Ask what is guaranteed, what is contingent and what you must do after closing.

Negotiate beyond price

Compare compensation, autonomy, staffing, non-compete terms, real estate and transition expectations. Have qualified legal and tax advisors review the structure. The highest headline number is not automatically the best fit.

General educational information only. Speak with qualified legal, tax, financial and lending advisors about your circumstances.

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