Franchise-level brand consistency and per-location lead flow across every acquired practice — without rebuilding campaigns every time you add a new market.
Practice A books 40 new patients per month from Google. Practice B — same MSA, same brand — books 9. The difference isn't the market; it's whether someone set up Google Business Profile correctly, whether reviews are getting requested, whether local search terms are covered. Across 20, 50, or 150 acquired locations, the gap compounds into a portfolio-level revenue problem no amount of acquisition will fix on its own.
Every acquisition brings its own legacy website, its own Google Ads account, its own review history, its own social presence — and usually its own agency relationship the previous owner set up. Six months post-acquisition you have 30 practices running 30 different brand voices, 30 different offer structures, and no way to guarantee any of them reflect corporate positioning. The DSO brand you're building doesn't exist at the patient level because nobody owns the transition layer.
Your PE sponsor wants marketing efficiency metrics by location, by market, by quarter — cost per new patient acquisition, production per marketing dollar, performance versus the acquisition baseline. What you have is a folder of PDF reports from 12 different vendors. You can't answer whether marketing drove growth at the practice level or whether it just happened. That gap becomes a valuation conversation at the next raise or exit.
Same playbook at every tier. What scales is location count, how much we own end-to-end, and how deeply we integrate with your acquisition ops and PE reporting cadence.
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"We went from 14 different agencies doing 14 different things to one team that owns the whole system. Lead volume went up, costs went down, and for the first time I could see exactly what was working at each location in a single report."
— CEO, Multi-location operator, 14 acquired locations
This case study covers a multi-location franchise operator — the same acquisition-and-brand-consolidation challenges apply directly to DSO marketing at scale.
Read the full breakdown →6 frameworks from 47 engagements. Scale marketing across your dental group without scaling headcount.
We take on one new DSO client per month. Book your 30-minute strategy call and we'll map exactly what's leaking marketing efficiency across your locations.