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Next Level Executive

Author: Perrin DesPortes

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For dentists ready to grow from practice owner to business leader.

You built a successful dental practice. You show up, you produce, and by every visible measure you have made it. But somewhere between your second hire and your hundredth patient, a new question started forming: what am I actually building toward?

Maybe you are wondering whether to bring on an associate, add a second location, or finally have the partnership conversation you have been putting off. Maybe the practice runs well, but only because you are in it every single day, and that realization is starting to feel less like success and more like a ceiling.

You did not go to dental school to become a business owner. But here you are, at the top of your own org chart, with no one above you to ask whether you are doing this right.

Next Level Executive is a weekly podcast for dentists and dental practice owners who are ready to grow from clinician to CEO. Each episode goes deep on the leadership, ownership, and growth strategy decisions that no one teaches you in dental school: how to build a team that performs without you in the room, how to evaluate and structure associate partnerships, how to add locations without doubling your stress load, and how to lead a multi-location dental practice with the confidence of someone who has done it before.

No fluff. No motivation. Just the specific, practical business education that dentist entrepreneurs actually need to build a dental practice that works without them, grow into a group practice they are proud of, and lead with the clarity and confidence the next chapter demands.

If you have been searching for answers on dental business strategy, practice growth, or what it actually takes to lead and scale a dental practice, you are in the right place.

Over 100 episodes available now. Push play.
122 Episodes
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Whenever I’m asked how to transition from a clinician to a CEO, I reply with the simple answer, “Just give yourself the title and be done with it.” You and I both know that never works…even though it hasn’t stopped many of your colleagues from doing simply that.The role of begins and ends with you, so you’ve got to learn to think differently. If you don’t think there’s much to “thinking differently,” then go ahead and skip this episode and the next two.On the other hand, if you’re ready for an audio masterclass in the practical application of an incredibly important theory, then “push play.”…3:42 Drawing parallels between Thompson Dental Company and Your Dentist Company7:50 A leadership team of one10:45 An Effective Executive can lead any business14:45 Creating time and space to sit and think…Other Episodes You’ll Love:1 Today's Clinicians are Tomorrow's Executives15 Becoming an Effective Executive…Got Questions? Send them to me here: [email protected]Love this show? Leave a review or share it with your friends!Want more advice on running a better business? See what I’m writing and what I’m reading....Considering selling your business to a DSO? Download the “Top 10 Questions” Guide at: www.GroupPractice.Coach Follow me for more insights: LinkedIn | YouTube | Facebook | www.TheNextLevelExecutive.com © 2025–2026 by Perrin DesPortes. All Rights Reserved.
I’m constantly asked the question, “How do I build a group dental practice that runs without me?” It’s easier said than done, but a major component of it is to ensure that your team executes on the strategies that you put before them.While there are hundreds of mistakes you can make along the way, there are 4 I see people making most often – and repeatedly.I can all but promise you that you’ll see yourself in at least one of these. If you’re ready to face the music, then “push play,”…1:37 When excitement turns to frustration7:10 An event or a process?8:50 The relentless pursuit of more11:00 Clarity, urgency and…fear?13:15 12 months or 90 days?…Other Episodes You’ll Love:15 Effective Executive: Professional Inflection Points and Key Decisions to Make (part 1)17 Effective Executive: Personal Inflection Points and Key Decisions to Make (part 2)…Got Questions? Send them to me here: [email protected]Love this show? Leave a review or share it with your friends!Want more advice on running a better business? See what I’m writing and what I’m reading....Considering selling your business to a DSO? Download the “Top 10 Questions” Guide at: www.GroupPractice.Coach Follow me for more insights: LinkedIn | YouTube | Facebook | www.TheNextLevelExecutive.com © 2025–2026 by Perrin DesPortes. All Rights Reserved.
Everyone I’ve worked with has the desire to transition from a Clinician to a CEO for one common reason: they’re burned out on clinical services and they want to focus on strategy. But what exactly is ”strategy?” If you can’t draw the distinction between vision, goals, strategy, tactics and execution, then chances are they all means the same thing in your organization – and they’re surely not.Part of being an effective executive is creating clarity, especially when it translates into results. If your group dental practice is failing to deliver on the results you had intended, then time to “push play.”…3:05 The problem at hand: strategy and tactics are not the same thing5:50 Connecting Vision, Goals, Strategy, Tactics and Operational Execution9:50 Some specific examples from my 15 years at Patterson18:50 Your After Action Items to work on…Other Episodes You’ll Love:9 Is Yours an “Execution Business”?56 Preparing for Growth and Sizing Up Risk…Got Questions? Send them to me here: [email protected] Love this show? Leave a review or share it with your friends!Want more advice on running a better business? See what I’m writing and what I’m reading....Considering selling your business to a DSO? Download the “Top 10 Questions” Guide at www.GroupPractice.Coach Follow me for more insights: LinkedIn | YouTube | Facebook | www.TheNextLevelExecutive.com © 2025–2026 by Perrin DesPortes. All Rights Reserved.
“Dental Practice Executive Leadership” probably wasn’t one of the courses offered in dental school, but it has become of paramount importance in building and leading a multi-location group practice. I recently hosted my Next Level Executive group in Austin for two very intense days that were 100% devoted to each of them improving their leadership skills and effectiveness as an executive. In short, we were all there to learn how to deliver greater results. I’m confident we did just that. I asked two special guests, Dr. Andrew Matta and Carrie Williams, to share some of their unique perspective with you on what those two days were all about. Push play! … CHAPTERS: 3:15 What does “Leadership” mean and why is it so important in today’s world of dentistry? 10:30 What makes certain Leaders great at what they do? And others less so? 16:30 Some thinking tools, frameworks, applications and tools you can apply 33:15 Current state of the market and the “Opportunity at Hand” for those in the emerging group practice space 39:30 Your own “Professional Development” and growth as a leader … Other Episodes You’ll Love: 12 You’re Ready to be a Leader – Even Though You Don’t Believe It Yet 15 The Last Thing You Need is a Strategy … Got Questions? Send them to me here: [email protected] Love this show? Leave a review or share it with your friends! Want more advice on running a better business? See what I’m writing and what I’m reading. ... Considering selling your business to a DSO? Download the “Top 10 Questions” Guide HERE. ... Follow me for more insights: LinkedIn | YouTube | Facebook | TheNextLevelExecutive.com © 2025–2026 by Perrin DesPortes. All Rights Reserved.
In December of 2025, Park Dental Partners, a doctor-owned and debt funded group of close to 100 practices in Minneapolis, went public. They’re not going to be the last. If you’re leading an emerging group practice, competing with publicly traded DSOs will dramatically change the landscape in every aspect: M&A, recruiting, technology, etc. It is inevitable that several more PE-backed DSOs will go public before the end of 2027. If you want to know why…“push play.”…CHAPTERS:The success of PARKWhy they did it and what it meansFour reasons why a handful of PE-backed DSOs must go publicI’ve lived on both sides of private versus publicYour marching orders…Other Episodes You’ll Love:5 Effective Executive: Leading from the Front56 Preparing for Growth & Sizing Up Risk…Got Questions? Send them to me here: [email protected] this show? Leave a review or share it with your friends!Want more advice on running a better business? See what I’m writing and what I’m reading....Considering selling your business to a DSO? Download the “Top 10 Questions” Guide HERE....Follow me for more insights: LinkedIn | YouTube | Facebook | TheNextLevelExecutive.com© 2025–2026 by Perrin DesPortes. All Rights Reserved.
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