
Chip Fichtner
Co-Founder and Principal,
Large Practice Sales
Choose an Advisor Who is More than Just a Dental Practice Broker
LPS is the largest transaction advisor to GP and specialty dental practices in the U.S. and completed over $1 billion of Invisible Dental Support Organization (IDSO) Partnerships in 2022 and 2023. The traditional broker cannot compete and cannot get you the ultimate valuation for your life’s work.
At Large Practice Sales, we go beyond being a dental practice broker. We are a white-glove investment bank and advisor, only paid by our doctor clients when a transaction closes. Our services include:
Comprehensive Practice Valuation: We provide a thorough assessment of your practice’s value, considering various factors that are specific to IDSO partnerships. Our valuation will be different than your accountant’s, or a buyer that is trying to work with you directly.
Competitive Bidding Opportunities: We orchestrate competitive bidding scenarios to maximize the value of your practice and generate the best possible offers.
Expert Negotiations: Our skilled negotiators work tirelessly to secure favorable terms and conditions that align with your best interests. We coach you through the process to create the best story and talking points.
Seamless Deal Closure: We guide you through the entire process, handling all necessary coaching, paperwork, and ensuring a smooth transition.
We take a personalized approach, collaborating closely with you to understand your specific needs and goals.
No-Cost, No-Obligation
Nationally Recognized






Why IDSO Partnership Over a DSO Takeover?
A Silent Partner Buys PART of Your Practice
IDSOs purchase 51% to 80% of your practice for cash now at low tax rates. Doctors retain ownership and have significant upside in the equity value. LPS clients have achieved 3x to 5x equity returns in only three to five years.
Long-Term Wealth Building Partnership
Six or More Choices in Partnership, Highest EBITDA Calculation
LPS clients have 6 to 10+ qualified bidders. LPS is the largest advisor which enables our clients to achieve record values that the little advisors or DIY cannot match.
LPS vs The Little Advisors or DIY?
Only Paid By Our Client – The Doctor
The little advisors accept fees from both the buyer and the doctor. Conflict of interest?! Our sole allegiance and compensation are from our doctor clients. Our motivation is only to achieve the highest value for our clients. A conflict-of-interest limits a doctor’s choices and results in fewer bidders at lower values.
Don’t Try to DIY
Doctors miss out on ALL of their options and a bidding contest to achieve the highest values with the right IDSO partner. Dentists have undergone years of education and training to become experts at creating healthy, beautiful smiles. Doctors have no training nor experience in the specialty of large, important financial transactions. Use a specialist!
Exceptional White-Glove Service
Clients receive unmatched support in choosing from a broad selection of IDSO bidders and in efficiently structuring and completing complex, tax-efficient transactions. We drive the bidding process and directly manage the due diligence, audit, and legal documentation necessary to complete transactions in a timely and organized process.
The Proof is in the Numbers
Over $1B in Practice Deals
In 2022 and 2023, LPS completed more dental practice partnerships than any other advisor.
$150M for Doctors in Their 30's
The younger a doctor enters into IDSO partnership, the more generational wealth he/she creates over time.
Transitioning doesn’t mean retirement.
38 IDSOs in 31 States
There are over 1100 DSOs and IDSOs in the U.S. Today; many are eager to partner with doctors in all 50 states. LPS permits fewer than 100 of the IDSOs to bid on our clients, as they are only exposed to the highest caliber IDSOs.
Largest Transaction: $43 Million and 18 Bidders
No Fee Until the Transaction Closes
Our clients pay nothing until the deal closes. Why not go through the process and learn your options at no cost?
1 Industry Focus
LPS is THE EXPERT in Dentistry Partnerships. Beware of advisors who focus on multiple industries and claim expertise in multiple financial transaction categories.
In 2023, LPS Set Valuation Records
ORTHO
12.2x EBITDA
MARYLAND
PEDO
10.1x EBITDA
FLORIDA
MULTI-SPECIALTY
14x EBITDA
FLORIDA
GP
10x EBITDA
MICHIGAN
OMS
11x EBITDA
FLORIDA
PERIO
10x EBITDA
ARKANSAS
Schedule a 20-Minute Intro Call Today

Chip Fichtner
Co-Founder and Principal,
Large Practice Sales
A serial entrepreneur for 40 years; started, bought and sold, dozens of businesses. Chairman or CEO of multiple public companies. Presented globally on economics, marketing and practice monetization since 1982. Tolerant wife of 33 years, a boataholic and resides on Southwest Airlines (BUT NOT IN 2024!).
I had been approached by several DSOs interested in partnering with my growing perio practice. I engaged LPS and they achieved 30% more than the highest bid that I had in hand with over eight bidders to choose from. Very glad I used LPS”
– Dr A.M., Periodontist in Southeast US