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Patient Education
May 5, 2025
5 min read

DSO vs. Private Practice Dentist: Why It Matters for Your Care

Dr. Ambereen Fatima, DDS, FICOI, FAAIP

By Dr. Ambereen Fatima, DDS, FICOI, FAAIP

Lead Dentist at Innova Smiles Dental

Medically reviewed by Dr. Ambereen Fatima, DDS, FICOI, FAAIP • Last reviewed May 5, 2025
DSO vs. Private Practice Dentist: Why It Matters for Your Care

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.

Take the next step for your dental health

Whether you need a routine cleaning or a complete cosmetic smile transformation, our team in Marlborough is here to help.

Questions? Call us at (508) 481-0110

Innova Smiles Dental serves patients in Marlborough, MA and nearby communities including Hudson, Westborough, Northborough, Southborough, Sudbury, Framingham, Hopkinton, and Shrewsbury.

Dr. Ambereen Fatima
DDS, FICOI

Dr. Ambereen Fatima, DDS

Implant & Cosmetic Dentist

Dr. Fatima is a Fellow of the International Congress of Oral Implantologists (ICOI) and the American Academy of Implant Prosthodontics (AAIP). With a focus on minimally invasive cosmetic dentistry, she combines artistry with evidence-based medicine.

NYU College of DentistryInvisalign ProviderAACD Member

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