Just Say No To The DSO

Dentistry is experiencing an attack by well-funded corporations who want to own the work of each dentist’s hands. While the promises of wealth and ease DSO’s present to owner-dentists appear enticing, experience shows the reality is very different. Just Say No to the DSO is a deep dive podcast for dentists in all stages of their career. It is especially for those who are looking at whether or not the option to sell to a DSO is the right choice. Our expert hosts, Bob Spiel, MBA and Nate Williams, CPA, CFP take listeners on a step by step journey through Season One laying out the realities of selling a practice to a DSO and why this isn't as good as it sounds, or the only option for successful dentists to have a thriving practice. Come and listen for the years of experience inside dentistry, as well as medicine, that have led to their logical arguments and stay for additional audience and listener feedback.
Questions you’d like addressed live in future episodes can be sent to: questions@justsaynotothedso.com

Let's start the discussion on how to save the future of the Dental Industry.

Last refreshed: July 27th, 2025 at 3:57 PM ⓘ

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Episodes

Episode 5 – The Medical Mess: Are DSO’s Pulling Dentistry into the Same Swamp?

In this podcast episode, our hosts dive into the distinctions between the medical and dental industries. As the discussion unfolds, Nate interviews Bob drawing on his experience in medicine as a hospital and surgical center CEO, highlighting the trajectory in which medical doctors have found themselves, where doctors have lost almost all control over their careers, primarily becoming indirect government employees working for large hospital systems. They sound an alarm on the risk that if DSO’s a...

Sep 13, 2023•42 min•Season 1Ep. 5

Episode 4 – The Make-Up of a DSO Offer: “Caveat Venditor”

Episode 4 dives deep into the financial intricacies and emotional pressures associated with Dental Service Organizations (DSOs). Initially, the hosts explore the selling tactics of DSOs, emphasizing the allure of immediate money. These tactics involve offering dentists a significant sum upfront for their practices. However, they caution that this is merely an advance against future earnings, not a bonus. Bob and Nate highlight that the DSOs expect the dentists to earn back this money (i.e. pay i...

Sep 13, 2023•42 min•Season 1Ep. 4

Episode 3 – Wealth and DSO Tactics: What You Don’t Know Will Hurt You

In this episode, hosts Bob Spiel and Nate Williams focus on the impact of Dental Support Organizations (DSOs) on the dental industry and their mission to dissuade dentists from selling their practices to DSOs. They address various aspects of this issue in three parts: 1. Bob and Nate emphasize the difference between wealth as cash and true wealth, which they define as owning productive capacity, particularly in the context of dental practices. They discuss the risks associated with selling a den...

Sep 07, 2023•54 min•Season 1Ep. 3

Episode 2 – Why Dentists Should Not Sell to a DSO

In this podcast episode, Bob and Nate discuss the reasons why dentists should not sell their dental practices to Dental Support Organizations (DSOs). Nate emphasizes the importance of owning a business and the wealth generated by owning productive assets, such as a dental practice. He also highlights the unique nature of dentistry, where the dentist's trained mind and hands are the product. Bob and Nate discuss the benefits of owning a dental practice, including control over how the work is done...

Sep 07, 2023•36 min•Season 1Ep. 2

Episode 1 – What Is “Just Say No to the DSO”?

In this episode, Bob Spiel and Nate Williams introduce their podcast "Just Say No to the DSO." They discuss their purpose, which is to persuade dental practice owners not to sell their practices to Dental Support Organizations (DSOs). Their experience is that selling to a DSO will almost always lead to making less money while losing control over their practice and life, and ultimately give industry control to non-dentist businesspeople. They share their backgrounds, with Nate being a dental CPA ...

Sep 07, 2023•25 min•Season 1Ep. 1

Welcome to Just Say No To The DSO

In the trailer we share who Bob Spiel and Nate Williams are, why we are so passionate about the future of dentistry being owned by dentists and not corporations, and what are the questions Season One addresses.

Aug 23, 2023•4 min

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