Next Level Executive

Next Level Executive

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.

Episodes

August 20, 2026 20 mins
Everyone loves to talk about “scaling your group dental practice” and “growth strategy” for your practice. Sometimes the most obvious answer is right in front of your face, but most of us fail to question things that are obvious. I have the same 12 months and 365 days in my year that you do in yours, but from a leadership standpoint, my year looks nothing like yours. I simply chose a different starting d...
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Why do so many successful dentists struggle to become even marginally effective CEOs? To be effective in a leadership role means you have to be able to create greater results through the work of your team, so is it “the team” that’s limiting your progress? Or are you just not being clear in communicating your expectations? If you’re frustrated by a series of underwhelming results, then “push play.&...
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Many early-stage executives wonder whether they’re truly ready to be a leader. We talk about this “transition from Clinician to CEO” as if it were easy. It isn’t. And your mastery of clinical services no longer applies to the other 80% of the business. So how do you actually lead a group practice when you don’t know how to perform the work all of those other roles require? I had to overcome that same m...

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The late Peter Drucker has a timeless quote that you and I have probably referenced 1,000 times: “Culture eats strategy for breakfast.” I’ve had enough unique experiences over 25 years to validate the truth in that statement. It does, however, beg the question: “Is it possible to build a business with a strong culture that also produces successful financial results?” You’re about to hear the an...
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Everyone talks about evolving from a clinician to a CEO. And nobody starts a business expecting to fail. However, every single one of us hits a point when our vision collides with reality then we discover the road to success has no pavement and no directional signs. I’ve suffered the same crisis of confidence that many of you have and all of the rest will at some point. This episode is a soul-searching exploratory talk ...
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To create a successful partnership means you must have the right Associate, but to have the right Associate means you have to recruit the right candidate. So…do you? I learned the hard way what failure looks like in terms of recruiting, and I fear you’re all making the same mistakes I did. If you’ve got doubts about your current Associate or you’re about to start a recruiting process for a new one, this ep...
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July 14, 2026 18 mins
As business owners, we owe it to ourselves to pick our trusted advisory team carefully. One of the areas of greatest opportunity is typically your dental supply company. There’s a chasm between good and great, and it’s measured in much more than just the cost of cotton rolls. For those of you looking to get a better handle on your cost structure or establish a formulary of your own, this is the episode you’ve...
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Have you ever wondered why it is that after 15 years of ownership only around 2% of dental practices fail, yet industry experts indicate that between 50% to 80% of dental partnerships fail? 

The dental practice model is incredibly sound, but the associate partnership model surely isn’t.  I think there are 3 dominant reasons that account for most of those failures. 

If you’re looking to avoid the common issu...

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I get more questions about Associate Dentists wanting to become Partners than any other topic.  It doesn’t matter if it’s the structure or a buy-in versus an earn-in or even how to actually bring them into ownership. 

These are all mechanical questions that totally fail to address the underlying dilemma: whether or not your Associate is truly prepared to become a good partner.  For that matter, you’r...

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Practically every Associate at some point wants to become a Partner, and most Founders want their Associate to become a Partner.  But “time served” is for prison sentences – not ownership in a business.

The reason most partnerships fail is because the Founder never takes the time to develop their young Associate into the partner they want them to be – let alone the partner they need them to be. 

If y...

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One major difference that separates a great Clinician from a successful CEO is the ability to understand changing market dynamics while living through them.  Timing can, in fact, be the make-or-break factor in your success.

In last week’s episode, I said that the “Gold Rush” of those selling their practices ended in 2019 and that we were now a new era of “Fool’s Gold.”  If this is the er...

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June 13, 2026 29 mins

Many Founder dentists have based their growth strategy on “scale for a sale.” If you’re one of them, you’re not going to like this episode. Today’s world of Private Equity-backed DSOs has become a house of cards when it comes to recaps and “second bites of the apple.” For far too many, there is no hope of recap and there is no windfall return to shareholders. Welcome to the world of “...

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S3 E2: Your Biggest Career Risk – I'll Go First
Everyone likes to talk about transitioning from Clinician to CEO, but nobody talks about what you actually have to do to make that a reality – let alone be effective in the new role.
To become an effective executive of the group or practice you lead means getting comfortable as an agent for change. And the first change that has to happen is in reinventing yourself. I...

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June 2, 2026 2 mins
Next Level Executive is back — sharper, more focused, and built around the one conversation that almost no one in this space is willing to have with a practice owner who has already made it. If you have built a practice that clears seven figures, runs well as long as you are in it, and leaves you wondering what comes next — this show was made for you. Leadership, ownership, and growth strategy for dentist entrepreneurs...
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All of us should aspire to own businesses that allow for entrepreneurial freedom when it comes to time, money, relationships and purpose. Ever wonder what that really looks like? I'm joined by two friends from the Executive program who have done just that: Dr. Ben Tolley and Dr. Geoff McIntosh. You're going to love listening to this episode almost as much as I did recording it. Enjoy!
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May 21, 2026 61 mins
As I'm about to relaunch the podcast, I figured I'd share the episode you've downloaded the most, which is...My Own Personal Journey?! Well, judging by the number of downloads, it actually is. I went back and re-listened to it, and there's actually a lot of good "teaching points" in it, so it's actually worth another listen - or a first listen, if you've never heard it! Here it is...again! Quite a few of you have asked about dif...
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As we roll through 2026, I will be sharing some interviews with a few curated company relationships. These are companies I know and trust, and people whose opinions I value. My intention is to share these collaborations with my audience of subscribers in members in hopes that they are equally beneficial to each of you. My interview on today's spotlight is with Bob Foss and Ted Wegman, Co-Founders of AccessDSO Solutions. Bob an...
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May 14, 2026 35 mins
I've taken quite a few calls and had a lot of conversations recently that all seem to orient around metrics and benchmarks. Wondering if you're on the right track? Curious if your business is up to standard? Tune in for a handful of metrics you need to know! Want to experience a "mini version" of the Next Level Executive program yourself? Join me in a 3-week sprint series. Details at: www.grouppractice.coach Got questions? I'...
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To be effective, you have to improve your decision making skills. What happens when you get it wrong? Do you really understand the price you - and your team - are paying in terms of time, distraction and dollars? In today's show, I unpack three critical skills that every effective executive must learn and master: evaluating opportunity costs; avoiding the sunk cost fallacy; and recognizing further secondary costs. It took me ye...
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Being an Effective Executive of an emerging group practice is easy to talk about, but hard to accomplish. You're going to learn from two guys directly what it means. Dr. Nate Tilman and Dr. Dan Hostrander have each built incredible businesses. Both of them are in my Executive group, so I asked them to share some of their "lessons learned along the way" with you. Enjoy! Want to experience a "mini version" of the Next Level Exec...
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