Trade Show Schedule


April 2024

Los Angeles, CA

American Association of Endodontists Annual Meeting

Booth 1042


May 2024

Las Vegas, NV

Henry Schein THRIVELIVE 2024

Booth A706

Understanding the Impact of Invisible DSOs. Friend or Foe? (1.5 CE)

Chip Fichtner

Thursday, May 2, 2024
AGD Code: 550

Over 1,000 invisible dental support organizations (IDSOs), with 10,000 plus practices, are growing rapidly across all 50 states. You should understand how your competitors have quietly partnered with IDSOs to achieve lower costs,- higher reimbursement rates, and access to the benefits of a resourceful partner. IDSOs become a doctor’s silent partner by buying 51% to 90% of a practice for cash up-front. Doctors remain as owners with their brand, team, and strategy with full autonomy for years or decades. You will ultimately join one or compete with many. It will pay to understand whether they will be a friend or foe in your near future.

Learning Objectives:

  • Understand how an IDSO can reduce costs, administrative burden, and help you grow more profitably.
  • Learn how IDSO partners practice in your area and compete with you.
  • Learn why and how $10 billion has been invested in IDSOs in the last 24 months.

Recommended for:

  • Dentists
  • Office Managers/Practice Administrators
  • Practice Owners


Chip Fichtner is Principal and Co-Founder of Large Practice Sales, LLC.

Mastering DSO Transactions: Unveilling the Key Questions to Navigate a DSO Partnership (1.5 CE)

Kelly Jastremski, DDS and Maxwell Sellers

Thursday, May 2, 2024
10:15 – 11:15 PM
AGD Code: 550

Explore the pivotal decision of selecting an ideal DSO buyer for your Dental Practice.  We must acknowledge the prevailing challenges faced by younger dentists in acquiring practices amidst high interest rates and substantial dental school debt.  In light of these challenges, opting for a Dental Service Organization (DSO) emerges as a compelling and attractive alternative to traditional sales.  This comprehensive course delves into crucial topics and inquiries essential for informed decision-marking when choosing the optimal buyer.  The content is structured around four distinctive categories:  Culture, Clinical/Tech Support, Deal Parameters and Growth Plan.

Learning Objectives:

  • Gain insight into assessing the compatibility of a DSO’s culture with your preferences and values.
  • Achieve clarity on clinical expectations and the incorporation of technology, enhancing your understanding of anticipated changes.
  • Skillfully analyze purchase documents, employment agreements, leases, and equity parameters to secure the most favorable and equitable outcome for the selling dentist.
  • Learn strategies to discern and manage potential alterations, fostering a proactive approach to minimize unexpected surprises in the transition process.

Recommended for:

  • Dentists
  • Practice Owners
  • Multi-Practice or DSO Executive
  • Multi-Site Offices


Dr Jastremski has received some expense reimbursement from Henry Schein for this presentation.

Maxwell Sellers is Principal, Development and Buy-side Relations for Large Practice Sales.

DSO Partnership, Not a Sale; A Wealth Building Strategy for Doctors of All Ages (1.5 CE)

Chip Fichtner

Friday, May 3, 2024
10:30 – 12:00 PM
AGD Code: 550

Thousands of invisible dental support organizations (IDSOs) in all 50 states are eager to partner with growing dentists of all specialties.  Larger practices are achieving record values today and gaining silent, resourceful partners.  Doctors can achieve far higher values, both short and long-term, in an IDSO partnership vs. a doctor-to-doctor sale or remaining independent.

IDSOs become a doctor’s silent partner by buying 51% to 80% of a practice for cash up-front.  Doctors remain as owners with their brand, team and strategy with full autonomy for years or decades.  Practices benefit from lower costs, higher reimbursement rates and reduced administrative burdens, creating more family time.  IDSO partners help doctors grow their practices bigger, faster, and more profitably.

Learning Objectives:

  • Learn why thousands of doctors, some as young as 32, have joined IDSOs in 2023.
  • Learn the real financial upside of IDSO partnerships.
  • Learn if the promised autonomy with an IDSO partnership is true.

Recommended for:

  • Dentists
  • Office Managers/Practice Administrators
  • Practice Owners


Chip Fichtner is Principal and Co-Founder of Large Practice Sales, LLC.


May 2024

New Orleans, LA

American Association of Orthodontists Annual Session

Booth 2800

Lunch and Learn with LPS

Sunday, May 5
Room 718

Learning Objectives:

  • Learn why orthodontic practices achieved record values in 2023.
  • Learn why IDSO partner practices are growing.
  • Learn which types of IDSOs are the best partners.
  • Learn whether an IDSO partner is right for you.
  • Learn why many orthodontists under 40 are now choosing IDSO partnership.


May 2024

Toronto, ON

American Academy of Pediatric Dentistry

Booth 607

Why are Pediatric Practices the Most Valuable Parters to IDSOs?

Saturday, May 25
11:30AM – 12:30PM

Learning Objectives:

  • Why pediatric practices are the most valuable of all practice types today.
  • How Medicaid impacts practice value.
  • Why pedo with ortho is not necessarily more valuable than pedo alone.
  • Which IDSO partner types offer the highest initial values?
  • The IDSO partner types with the best long term ownership upside.


June 2024

Aurora, CO

Association of Dental Support Organizations Summit Experience


June 2024

Park City, UT

Dentist Advisors Dentist Money Summit


July 2024

Denver, CO

Dykema DSO Conference


September 2024

Orlando, FL

AAOMS 2024 Annual Meeting

Booth 1234

GPT1 - Mainstage Virtual Session

OMS Practices are the Most Rapidly Consolidating of all Dental Practice Types. Understand the Risks and Rewards of the New Reality. 

On Demand

Over 5,000 independent OMS practices are competing with 50+ Invisible Dental Support Organizations (IDSOs) for the 250+/- resident graduates each year. Some DSOs and IDSOs are offering six-figure signing bonuses and $750,000 first-year guarantees. Most are also offering immediate ownership. Your future “transition” options have changed dramatically; mostly for the better, but timing is critical.

All OMS practices will ultimately compete with DSOs and IDSOs or partner with one. This is not a popular topic, but it is the new reality. Doctors of all ages are joining IDSOs for a variety of reasons; initial liquidity, access to new associates, and capital and support for growth. IDSO partnership is not a short-term exit, but rather a long-term wealth-building strategy.

LPS advised OMS clients under 50 in over $200,000,000 of record value partnerships in the last 24 months. Urgent Warning: The value of practices with doctors over 60 is declining daily.

Understanding the future of your practice business is Critical Education (CE), not just continuing education.


  • The future of OMS practice values
  • What are today’s monetization options for young and older surgeons
  • Which practices will achieve the highest values and why

PMOD03 - Breakfast and Learn with LPS

OMS Practice Consolidation; Dozens of Partner Choices at Record Values in 2024

September 12
10:00 – 10:45 A.M.
Location: TBA

In addition to solving associate recruiting challenges, doctors are quickly realizing that an Invisible Dental Support Organization (IDSO) can provide them with far greater wealth over time than remaining independent. Some OMS and Dental Trifecta IDSOs have already proven the potential upside in the ownership doctors retain in an IDSO partnership. Many doctors have achieved 300%+ equity returns in less than 48 months, and some have achieved far more.

With 17 OMS-only IDSOs competing with dozens of Dental Trifecta (pedo, ortho OMS) and multi-specialty IDSOs, doctors have multiple choices in silent IDSO partners. LPS continues to set record values for growing OMS practices nationally in 2024. A proprietary bidding process provides clients with six or more qualified bidders from which to choose the right partner.

Surgeons should understand the IDSO option as larger practices will either join an IDSO or compete with many over time.

Learning Objectives:

  • Why many of the largest OMS practices in the U.S. have joined IDSOs in the last six years and how IDSOs add value to OMS practices without micromanaging or homogenizing them
  • The recruiting tools used by IDSOs that independent practices can never match
  • Get a detailed look into a doctor’s life in the right IDSO partnership
  • Which IDSOs will succeed, which will fail, and why (The IDSO Blacklist)
  • How costs are reduced and reimbursement rates increase in an IDSO partnership


September 2024

Orlando, FL

Southern Association of Orthodontists – SAO24


October 2024

Scottsdale, AZ

Orthopearls MOPC 2024


October and November 2024

San Diego, CA

American Academy of Periodontology Annual Meeting


November 2024

Hartford, CT

Northeastern Society of Orthodontists


November 2024

Atlanta, GA

American Academy of Implant Denstistry Annual Conference

Booth 209


December 2024

Chicago, IL

AAOMS Dental Implant Conference

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