Keith Miller on What Dentists Should Ask Before Partnering with a DSO

Keith Miller on What Dentists Should Ask Before Partnering With a DSO

How do dental practice owners separate empty corporate promises from stable, long-term growth? In this episode of The Dental Economist Show, host CRO Mike Huffaker of Planet DDS sits down with Keith Miller, President and COO of Partnerships for Dentists (P4D), to unpack the operational discipline required to build a truly sustainable dental support organization (DSO) model.

Drawing on his extensive background in high-stakes retail operations at Aldi, Miller explains why transparency and structural consistency are essential for long-term clinical and financial success.

The conversation dives deep into the realities of modern DSO integration, detailing how P4D achieves an impressive average EBITDA increase of 30% in year one through non-invasive yet disciplined cost management.

Keith sheds light on the hidden pitfalls of over-leveraged acquisitions, why dental practice buyers must look directly at a partner’s financial health, and how to effectively navigate internal resistance when transitioning to automated client systems.

This episode provides an invaluable framework for any dentist looking to navigate DSOs without compromising their clinical autonomy.

Inside the Conversation: Partnering with a DSO the Right Way

About The Dental Economist Show

Don’t miss insightful conversations with industry experts on the latest trends and top strategies to grow your DSO or dental group. Tune in to The Dental Economist Show each week as we meet at the intersection of profit and purpose.

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