Featured Answer: What is the difference between a DSO and a private practice dentist?
A DSO (Dental Service Organization) is a corporate-owned chain of dental clinics where business decisions, hiring, and sometimes treatment protocols are managed by corporate executives focused on profitability. A Private Practice is independently owned and operated by the dentist themselves, allowing for 100% clinical autonomy, personalized care, and long-term doctor-patient relationships without corporate quotas.
The Hidden Shift in Modern Dentistry
If you have noticed your childhood dental office changing its name, seeing different doctors every time you visit, or feeling more pressure to accept expensive treatments, you might be experiencing the shift from private practice to corporate dentistry.
Over the last decade, corporate chains known as DSOs (Dental Service Organizations) have quietly purchased thousands of independent practices across Massachusetts and the United States.
While DSOs offer convenience, the corporate model fundamentally changes how your healthcare is delivered. At Innova Smiles in Marlborough, we proudly remain an independent, family-owned private practice. Here is why that matters for your health, your wallet, and your peace of mind.
1. Continuity of Care: Seeing Your Doctor
The Corporate DSO Experience
Corporate clinics often suffer from high turnover rates. Young dentists may work at a DSO for a year or two before moving on. For patients, this means you rarely see the same doctor twice. Every visit requires re-explaining your dental history, and complex treatments (like Dental Implants or Invisalign) might be started by one doctor and finished by someone else.
The Private Practice Advantage
When you visit Innova Smiles, Dr. Ambereen Fatima is your doctor today, tomorrow, and years from now. We build multi-generational relationships with our patients. We know your history, your anxieties, and your goals. This continuity of care is the foundation of preventive, conservative dentistry.
2. Clinical Autonomy vs. Corporate Quotas
The Corporate DSO Experience
In many corporate environments, dentists are employees of a larger management group. They are frequently assigned daily production quotas and strict time limits per patient. This high-volume model can unfortunately incentivize "over-treatment"—recommending aggressive procedures (like crowns instead of fillings) to meet business metrics.
The Private Practice Advantage
As an independent owner, Dr. Fatima answers only to her patients, not to corporate shareholders. We practice conservative dentistry. If a tooth can be saved with a simple filling, that is what we recommend. We take the time to explain your Insurance and Financing options transparently, without high-pressure sales tactics.
3. Quality of Materials and Dental Labs
The Corporate DSO Experience
To maximize profit margins across hundreds of clinics, corporate chains often mandate the use of centralized, discounted dental laboratories or cheaper overseas materials for crowns, dentures, and aligners.
The Private Practice Advantage
We refuse to compromise on quality. Innova Smiles partners only with elite, local specialized dental laboratories in Massachusetts. We use premium, biocompatible materials and invest in world-class in-house technology, like our 5D Smile RayFace Scanner, to ensure your restorations look perfectly natural and last a lifetime.
4. The Atmosphere: Boutique Care vs. The Assembly Line
Corporate offices are designed for volume. Waiting rooms are often packed, appointments feel rushed, and the environment can feel incredibly clinical and impersonal.
At our Marlborough practice, we have intentionally designed a "personalized" environment. We schedule ample time for every appointment so you never feel rushed. From the moment you walk in, you are treated like a guest, not a patient ID number.
Making the Right Choice for Your Family
Corporate dentistry has its place for quick emergencies, but for long-term oral health, nothing replaces the trust and personalized attention of a dedicated private practice.
You deserve a doctor who remembers your name, respects your budget, and advocates for your overall wellness.
If you are looking for a true dental home in Marlborough that puts patients before profits, we would love to welcome you.
Ready to experience the private practice difference? Reserve Your Signature Visit Today or call us at (508) 481-0110.




