Dentaltown December 2019 - 12

howard speaks
column

How Arizona Is Leading the Nation
Prediction: Recent developments in dental licensing and DSOs will lead to massive growth
Finally, it's here: Arizona has become the first state to recognize
every single U.S. professional dental license in the other 49 states.
For years, one of my biggest issues was that even after you passed
your tests and graduated from a dental school that's accredited by
the ADA's Commission on Dental Accreditation, you still had to
pass a state board exam before you could practice dentistry there.
This is particularly prohibitive for new graduates, who are the
least able financially to take these tests. No matter whether they
want to return home and work alongside their mom and dad or
venture out to another state, these new dentists are broke. They're
just graduating, they've got student loans out the wazoo, they have
to move, they have to get an apartment ... and we're putting them
through state board exams, which are really just jobs justification
programs for a bunch of turf-hungry older dentists who say, "Oh,
you want to come to my state? You're going to have to come take
a test. And of course I'm going to be the test giver, and I'm going
to sit there for three days and make good money while you poor,
broke, starving students have to come jump through more hoops."
Arizona's governor believed this created a restraint of free and
fair trade-not just for dentists, but all licensed professionals.
No matter if you're an accountant, a dentist, a hygienist, an
engineer-you move to Arizona, they now accept your license.

The ABCs of DSOs
What sort of impact do you think this will have on the supply
of dentists in Arizona?
A. Little to no measurable impact.
B. Some increase in the supply of dentists, but only by a
percentage point or two.
C. A large impact, increasing the number of dentists by at least
10% over the next few years.
My vote's on C. I'm betting on a 10%
increase over the next two years.
Arizona was already ground zero for dental
DSOs. (When I use that term to describe a
dental service organization, by the way, it just
means dentists are working under management.
When you hear "DSO," everyone immediately
thinks of the 400-pound gorillas-Heartland,
Aspen, Pacific-but the reality is that most
DSOs are doctors who have maybe two or three
locations in towns with populations of maybe

by Howard Farran, DDS, MBA, publisher, Dentaltown magazine

12

DECEMBER 2019 // dentaltown.com

DENTIST DSO PARTICIPATION,
BY AGE

17.9%

11.3%

4.5%

21-34

35-49

50-64

3.4%

65+

STATES WITH HIGHEST AND LOWEST
PERCENTAGES OF DSO DENTISTS

18.4% Arizona
17.8% Nevada
15.8% Texas
14.6% Indiana
14.6% Wisconsin
1.0% South Dakota
0.4% Delaware
0.0% Wyoming
0.0% Montana
0.0% Alaska
Source: ADA (all)


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Dentaltown December 2019

Table of Contents for the Digital Edition of Dentaltown December 2019

Dentaltown December 2019 - Intro
Dentaltown December 2019 - Cover1
Dentaltown December 2019 - Cover2
Dentaltown December 2019 - 1
Dentaltown December 2019 - 2
Dentaltown December 2019 - 3
Dentaltown December 2019 - 4
Dentaltown December 2019 - 5
Dentaltown December 2019 - 6
Dentaltown December 2019 - 7
Dentaltown December 2019 - 8
Dentaltown December 2019 - 9
Dentaltown December 2019 - 10
Dentaltown December 2019 - 11
Dentaltown December 2019 - 12
Dentaltown December 2019 - 13
Dentaltown December 2019 - 14
Dentaltown December 2019 - 15
Dentaltown December 2019 - 16
Dentaltown December 2019 - 17
Dentaltown December 2019 - 18
Dentaltown December 2019 - 19
Dentaltown December 2019 - 20
Dentaltown December 2019 - 21
Dentaltown December 2019 - 22
Dentaltown December 2019 - 23
Dentaltown December 2019 - 24
Dentaltown December 2019 - 25
Dentaltown December 2019 - 26
Dentaltown December 2019 - 27
Dentaltown December 2019 - 28
Dentaltown December 2019 - 29
Dentaltown December 2019 - 30
Dentaltown December 2019 - 31
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Dentaltown December 2019 - 33
Dentaltown December 2019 - 34
Dentaltown December 2019 - 35
Dentaltown December 2019 - 36
Dentaltown December 2019 - 37
Dentaltown December 2019 - 38
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Dentaltown December 2019 - 40
Dentaltown December 2019 - 41
Dentaltown December 2019 - 42
Dentaltown December 2019 - 43
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Dentaltown December 2019 - 45
Dentaltown December 2019 - 46
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Dentaltown December 2019 - 48
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Dentaltown December 2019 - 50
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Dentaltown December 2019 - 53
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Dentaltown December 2019 - 55
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Dentaltown December 2019 - 58
Dentaltown December 2019 - 59
Dentaltown December 2019 - 60
Dentaltown December 2019 - 61
Dentaltown December 2019 - 62
Dentaltown December 2019 - 63
Dentaltown December 2019 - 64
Dentaltown December 2019 - 65
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Dentaltown December 2019 - 70
Dentaltown December 2019 - 71
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Dentaltown December 2019 - 73
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Dentaltown December 2019 - 90
Dentaltown December 2019 - 91
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Dentaltown December 2019 - 95
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Dentaltown December 2019 - 103
Dentaltown December 2019 - 104
Dentaltown December 2019 - Cover3
Dentaltown December 2019 - Cover4
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