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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.
118 Episodes
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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.
A few months ago, I dropped an episode on “The Era of the Zombie DSO” where I shared my view on the 50 to 70 PE-backed DSOs that couldn’t get a recap done. Their incompetence is your opportunity, but it’s up to you to get a return on that.If you’re looking to become a better leader of your own practice or group, a lot of that will begin and end with the people you bring into the organization. Tune in to hear how you should prepare ahead of time.Want to know how it’s going to play out? Time to “push play”…CHAPTERS:Jim Collins’s concept of “Return on Luck”Who – Not HowHow a DSO can quickly create more EBITDAA haul of talent entering the marketDon’t forget about Associates…Other Episodes You’ll Love:3 The Era of the Zombie DSOs15 Effective Executive: Professional Inflection Points & Key Decisions to Make (part 1)…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.
In a world still focused on “10X’ing your business” and “Scale for Sale,” there’s only one problem with all of that: this growth strategy is completely wrong. The reason that it’s only creating chaos for so many of your colleagues is very simple. It’s backwards.If you want to learn the right way to build a group practice…then “push play.”…CHAPTERS:My frustration with our industryA group practice or a group OF practices?What your new growth strategy should beExample of greatness number one: Dr. JamesExample of greatness number two: Dr. Todd…Other Episodes You’ll Love:5 Effective Executive: Leading from the Front56 Preparing for Growth & Sizing Up Risk…Want to talk about your own journey? Email me directly: [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.
I created a component of my Next Level Executive program called “Entrepreneurial Leadership” for a reason: because I truly believe that you and I can create a successful business that is congruent with the lifestyle we want to lead. In short, I believe our business can be a complement to our life – not compete with it.Business ownership is a full-contact sport – even in a healthcare services environment. And it has to be built to win. Wanna know what winning sounds like? I’ll let two of my friends tell you…time to “push play”…CHAPTERS:Two Entrepreneurs who happen to own clinical services businessesOvercoming the fear of making investments in your businessImpact and Fulfillment is the ultimate outcome as a business ownerLeading a nimble business in an ever-changing environmentAbundance and optimism with your hands firmly on the steering wheel…Other Episodes You’ll Love:36 Success vs Fulfillment55 Ceilings of Complexity and Inflection Points…Got Questions? Send them to me here: [email protected] a Call to Discuss the Executive ProgramLove 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.
Everyone in this audience is a successful clinician and business owner, but each of us has experienced a point of burnout from owning a dental practice.So, if you didn’t already own your business, would you buy it? And if you had it to do all over again, would you become a dentist? Think very hard about your answer…Then “push play”…CHAPTERS:Moore’s Law and the most successful “pivot” in Corporate America historyIs it time for you to pivot, too?My MBA case study on your industryMy job performance “needs improvement”…Other Episodes You’ll Love:2 Frames of Reference and the Merits of the Model21 Taking stock of where you are and what you want…Got Questions? Send them to me here: [email protected] a Call to Discuss the Executive ProgramLove 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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