Independence@Scale

The Third Option for Independent Dentistry

Independent does not have to mean being alone.

Independence@Scale gives independent dental practices the capabilities of a larger organization, with the owner staying in control.

The dilemma

Independent owners are usually shown two paths. Stay independent and navigate rising complexity alone. Or sell to a DSO and give up some or all ownership and control.

Stay alone

Keep ownership, but absorb technology, staffing, compliance, and purchasing complexity without shared infrastructure.

Sell to a DSO

Gain scale capabilities, often by transferring some or all ownership and day-to-day control.

The Third Option

Remain independent, gain the advantages of scale, and keep the choice of whether and when to pursue liquidity.

  • Operate independently.
  • Compete collectively.
  • Automate intelligently.
  • Exit optionally.

Why now

Automation and AI are changing the work of running a practice. Large groups can evaluate and deploy new technology at scale. A single practice generally cannot test, negotiate, integrate and improve dozens of tools while also treating patients.

Independence@Scale evaluates once, learns once, negotiates once, integrates once, and deploys what works across many practices.

Advantages @ Scale

  • Technology @ Scale

    Shared evaluation and integration of tools that support clinical and business workflows.

  • Automation @ Scale

    Repeatable automation that reduces manual work without removing owner control.

  • Expertise @ Scale

    Access to specialists who work across practices on the same operating problems.

  • Economics @ Scale

    Collective purchasing and service leverage designed around member value.

  • Intelligence @ Scale

    Normalized data and benchmarking so owners can see performance clearly.

  • Value @ Scale

    Everyday operating capability that should matter whether or not a sale is ever considered.

  • Exit Options @ Scale

    Optional preparedness for a future transaction with other prepared practices, only if an owner chooses.

Professional headshot of Clark Caflisch, co-founder of Independence@Scale, wearing a navy suit and glasses.

Clark Caflisch

Co-founder

Dental group infrastructure, technology and Alliance Model design.

Professional headshot of Dr. Vajahat "VJ" Yar Khan, co-founder of Independence@Scale.

Dr. Vajahat "VJ" Yar Khan

Co-founder

Dentist-owner, operator and builder of practice support companies.

Curious whether it fits your practice?

Request a no-pressure business briefing.

No commitment to join. No commitment to sell.

Context

  • 16% of U.S. dentists were DSO-affiliated in 2024 (ADA Health Policy Institute). Source
  • 43.3% of surveyed dentists reported using AI for at least one practice task in 2026 (ADA Health Policy Institute). Source

Sources: ADA Health Policy Institute.