
Brian Hanks
Certified financial planner and founder of Dental Buyer Advocates, author of "How to Buy a Dental Practice," helping dentists acquire dental practices.
4
APPEARANCES
4
PODCASTS
012
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Sep 18, 2026
The Associate Trap: Why Waiting Too Long to Own Can Cost Dentists a Fortune
13:11
13:18
13:26
13:44
13:50

Brian HanksGUEST
So the data show that DSOs, depending on how you measure, by the way, nobody knows the total number.

Brian HanksGUEST
What counts as a DSO? Is it the oral surgeon that owns four practices? Is that a DSO? Heartland certainly is a DSO.

Brian HanksGUEST
Anyway, the data is suggesting that private equity or DSO ownership of the 161,000 dental practices in the US hovers somewhere between 17 and 18 percent right now in 2026 as we're recording.

Brian HanksGUEST
But that's gone up from 10% about eight years ago and less than 5% 20 years ago.

Brian HanksGUEST
And so people are looking at this trend line and they're going, you know, I know veterinary over there, veterinary got up to 50%.
#1,189: The Future of Private Practice Is Actually Very Bright
16:29
16:35
16:47

Brian HanksGUEST
Remember how good you weren't at all the clinical stuff that you're really good at now.

Brian HanksGUEST
So dentists, the superpower that most dentists have is that attention to detail, like the obsession over the details and the minutiae.

Brian HanksGUEST
And as a patient, I want mine to this freaking thinking about all of the, all of the little details.
12 MINS LATER
#1,189: The Future of Private Practice Is Actually Very Bright
18:47
18:53
19:04
19:14
19:25

Brian HanksGUEST
... do the math, and I did the math at, like, a 38-year-old dentist versus a 33-year-old dentist.

Brian HanksGUEST
And I assumed that they actually retired at a, both retired at age 60, okay? So, like, different lengths of associate part of your career and owner part of your career.

Brian HanksGUEST
Uh, with compound interest, assuming 7% and some of those other th- variables that I put in there, it was a $1.14 million difference between those two numbers.

Brian HanksGUEST
So don't forget that while you're busy, like, taking care of your student loans so you can feel ready to buy a practice, um, it's costing you an enormous amount of money.

Brian HanksGUEST
And Kira, I would just add, and I'm curious if you can think of any others, I would say the compound or the compound effect that I'm talking about is not just money, although money is a big part of it.
11 MINS LATER
Brian Hanks : Dentistry Uncensored w/ Howard Farran #1717
31:03
31:08
31:22
31:36

Brian HanksGUEST
So I'll give you a few data points, and let's, let's talk about kind of the marketplace.

Brian HanksGUEST
So if, uh, something like 16, 17% of dental practices in the US are owned by some kind of corporate entity, DSOs, whatever, however we wanna draw that line, um, that percentage has grown from, you know, 5% in the last 15 years.

Brian HanksGUEST
And so a lot of people are worried that dentistry's gonna be like the veterinary market, right? Veterinary's got to the point where it's 50% of all vet practices in the US were owned by, you know, some corporate entity.

Brian HanksGUEST
It's now 35% of the vet space, uh, as of 2026, and, and, and who cares? That's vets.
9 MINS LATER