Piccadilly Dental Alliance
TOP OF MINDISSUE 01 · 2026

Who should
own dentistry?

Three perspectives on ownership, independence and the future of the dental profession.

FROM THE EDITORS Issue 01 · 2026

Dental care is being reorganized. Solo practices are giving way to groups, and a growing share of those groups answer to outside investors. The debate about what this means for patients is often loud and rarely precise.

In this first issue we put the question of ownership to three people who see it from different sides. They do not agree on everything. That is the point. What emerges is a clearer view of what ownership actually changes — for clinicians, for patients, and for the long-term health of the profession.

INTERVIEW I

“Capital is a tool. The question is who holds it.”

PDAFounder and Chief Executive Officer, Piccadilly Dental Alliance
Q1

Why did you choose to build a group without outside investors?

We wanted clinicians to keep the final word on care. Building our own offices was slower, but it meant every location shared our standards from its first day, and nobody outside the profession could overrule a clinical decision.

Q2

Does ownership structure actually change what happens in the chair?

It changes who wins the argument when growth targets and clinical judgment pull in different directions. In a dentist-owned group, the tie goes to the clinician — and patients feel that, even if they never see it.

Q3

What would you tell a young dentist weighing their first offers?

Ask who has the final word on your treatment plans, and who will teach you in your first five years. The salary matters. Those two answers matter more.

ALSO IN THIS ISSUE
THE BOTTOM LINE

Ownership is not a label. It is a rule for who decides when care and growth disagree — and that rule shapes everything downstream.