Pento Dental Advisors (PDA) provides clients with investment banking, growth operations and platform development services.  These services include operational experties, buy/sell-side mergers and acquisitions, capital raise assignments, and restructuring services.

We’re experiencing an era of unprecedented change in operating a dental business. We are committed to improving dental platforms through innovative approach, planning and implementing the best possible DSO model. Our intrinsic understanding of corporate dentistry sector has led to proven results in driving DSO success.

We’ve executed numerous dental practice, DSO platform and institutional transactions. Since acquisitions are the fastest way to grow you will need an experience advisors to help you with both pre and post enterprise-level transition. 

Dental Service Organization DSO set up


From New York to San Francisco, we've helped dental professionals navigate the complex DSO regulatory landscape, raise capital, merge or help with setting up new multi-specialty practices.



We have extensive experience providing easy to follow blueprint for the unique needs in the critical area of DSO transition, management, marketing, coaching and financial planning. 


Dental practice Analysis


In Less than 3 days, at your dental practice, we'll prepare a comprehensive analysis of your practice and help you make the CEO-level decisions you need to transform your practice into an organization.   

Since inception, PDA has been instrumental in the growth of a number of DSOs while creating measurable value for dentists and their platforms. Below is a sampling of just a a few clients that PDA or it's principals have worked with in the past in the US, Spain, UK and Hong Kong. 


In 2011, Dentix launched with just seven clinics in Madrid. The company then went big – very big. By the close of 2015, it had dental clinics not just in Spain, but in Italy, Colombia and Mexico. Revenue soared from just €3m in its first year to €270m last year, an increase of 9,000%. Soon the company will add Chile, Peru and the United Kingdom to the list of countries where it operates.

That level of growth is nothing short of astonishing, and came about in large part because the company taps into a service that is in high demand all over the world. 

  • Dental Service Organizations are growing exponentially and should continue to see increased growth

  • DSOs are appealing to patients on several levels;

    • There is a perception that a DSOs services are standardized and more cost effective, and that due to their size and multiple locations there is a higher level of training and quality of care provided.

    • For these reasons and in today’s economy, consumers in need of dental services are increasingly selecting a DSO rather than seeking out a solo dental clinician. 

" Despite the growing consolidation of healthcare markets, the dental sector in the US remains highly fragmented and presents a significant investment opportunity for private equity firms and strategic buyers from adjacent healthcare sectors. Consolidation and the creation of dental chains can bring significant operational and procurement efficiencies, as long as local market differences and patients are respected. The Dental Services Organizations (DSO) sector is currently experiencing exponential growth as established DSOs expand, while newer equity firms are moving into the sector. If you are thinking to start a DSO / group practice, you may have already investigated some of the available options. With over a decade of experience and leaders in DSOs M&A and operation, our dental advisory services address a wide range of platform investment, succession and regulatory DSO as well as MSO objectives "   
Mike Panahi, DMD - CDO
Dr. Panahi at University of Pennsylvania Dental Medicine meeting to discuss the DSO’s growth and his market outlook.

Putting our intellectual capital and dental expertise to work for clients worldwide

Balancing DSO expectations with capacity and setting priorities can be a challenging in dentistry

Dental organizations are experiencing ever-increasing regulatory pressures in pursuit of efficiently managing services and resources. We understand and apply effective strategic and business planning tools to facilitate smooth and productive transition into setting up your own dental service organization.

Our approach includes:

  • Developing a solid mission, vision statement and
    a value proposition list geared toward a successful DSO
  • Conducting strategic planning and
    strengths-weaknesses-opportunities-threats (DSO) analysis
  • Conducting market and financial feasibility studies
  • Developing realistic business, marketing
    and succession plans
  • Providing financial planning services, including
    long-range capital and cash-flow planning
  • We work closely with several " DSO friendly " investment institutions and privet equity firms to facilitate raising "Smart Capital" needed to expand your organization.
  • Developing payer contracting strategies



For already established DSO, We offer a deep pool of expertise in executing mergers and acquisitions, along with substantial pre-and post-merger assessment expertise

The rapid consolidation that has occurred within dental arena in the last five years has left dental groups struggling to find organizational equilibrium. Experience and insights can help avoid misunderstandings and undesirable compromises through complete pre-merger feasibility studies.

We provide services to evaluate:

  • Financial stability and market position
  • Organizational culture
  • Management expectations
  • Benefit package structure and compensation
  • Long- and short-term planning

We work with your dental organization to:

  • Identify and clarify issues and address concerns
  • Develop strategies and operational models
  • Identify ideal organizational structures
  • Develop benchmarks to monitor performance