Fractional COO Consulting
Build efficient systems and lead with confidence
The DEO's COO consulting is a fractional add-on service that embeds an experienced operator directly inside your organization — coming onsite, training your team, and bringing the executive level experience needed to solve your most difficult operational challenges and build the systems that make scaling possible.
Why practice owners choose The DEO
50%
Higher profit margins
2x
Increased free time
5x
Return on your investment
But more importantly my net profits has gone from some months being in the red to now consistently being 15 to 20% more. And I have gone from working four days a week painfully to working three and a half days a week with an associate and more time off.
I’ve gone from practicing four to five days a week to not practicing at all for the past year. The biggest win has been the connections; having peers I can text anytime who understand the same challenges. That support helped us grow, realize we’re not alone, and build the confidence to keep expanding.
We are now at seven locations and $16 million. Every single one of these events I pull so many great things away from — I cannot put a tangible number on how much of that growth is attributed to DEO but certainly a chunk of it very much is.
Imagine...
An executive onsite to work directly with your team
An executive onsite to work directly with your team
Implementation of proven system for you
Implementation of proven system for you
Executive level leadership of your team every week
Executive level leadership of your team every week
Welcome to The DEO
The operational support your organization needs to successfully scale
Most multi location dental practices are held together by the owner's personal effort — not by systems, not by accountability structures, and not by a management team that can run the organization independently. The DEO's COO consulting changes that by building the operational foundation that makes consistent, scalable growth possible across every location you own or plan to open.
Documented systems across every location
Documented systems across every location
A leadership team that actually leads
A leadership team that actually leads
Operations that run without you
Operations that run without you
How we can help
Discover what's included
Org chart design and restructuring
Org chart design and restructuring
The DEO's fractional COO consulting begins with a clear eyed assessment of your current organizational structure — identifying the reporting gaps, accountability overlaps, and leadership voids that are creating operational chaos across your locations. From there The DEO builds a clean, functional org chart that defines who does what, who is accountable to whom, and how decisions get made at every level of the organization — giving your team the structural clarity they need to perform independently.
SOP development and implementation
SOP development and implementation
The DEO's operators work with your team to document the systems, workflows, and processes that make your best locations run well — and build them into repeatable, teachable SOPs that can be implemented consistently across every location. The goal is to turn institutional knowledge into organizational infrastructure — so the practice runs the same way whether the owner is in the building or not.
Scheduling system optimization
Scheduling system optimization
Inconsistent scheduling systems are one of the most common and most costly operational inefficiencies in multi location dental groups. The DEO's COO consulting audits and optimizes your scheduling infrastructure across every location — identifying the production capacity that inconsistent scheduling is leaving on the table and building the systems that capture it consistently.
Leadership accountability structures
Leadership accountability structures
Great org charts and great SOPs only work if the people responsible for executing them are held accountable in a structured, consistent way. The DEO builds the leadership accountability frameworks — meeting cadences, performance metrics, reporting structures, and consequence systems — that give your management team the tools they need to lead rather than just show up.
Onsite assessments
Onsite assessments
For members who want a ground truth diagnosis of what is actually happening across their locations, The DEO's onsite assessments put an experienced operator physically inside your practice — observing workflows, shadowing team members, and diagnosing the operational gaps that remote coaching simply cannot see. The assessment report feeds directly into the COO consulting engagement, giving your DEO operator a clear, prioritized action plan from day one.
Fractional COO Consulting
Fractional COO Consulting
Your practice doesn't need a full-time COO salary. What it needs is operational clarity, accountability structures that actually stick, and a leader who knows dental inside and out. DEO's fractional COO steps into your operation for a defined engagement — running the systems audit, building the playbook your team follows, installing the metrics that matter, and coaching your existing leadership through the implementation. You get the expertise without the overhead.
Treatment Closing Academy
Treatment Closing Academy
Your clinical team can diagnose like surgeons. But if patients aren't accepting treatment, revenue stalls. TCA flips the script by teaching your entire team — from front desk to clinician — how to present, communicate, and close with confidence. The result is higher case acceptance, stronger patient relationships, and the revenue your clinical excellence deserves.
Proven frameworks.
Extraordinary outcomes.
The Profitability Stages™
The DEO's trademarked five stage growth model tells you exactly where you are, what is holding you back, and what you need to do to get to the next level.
The Profitability Cycle™
Every DEO coaching engagement is built around one proven framework that turns financial chaos into intentional, compounding profit at every stage of your growth.
The DEO 5X Return
Every member can expect to earn back at least 5x their coaching investment through real, measurable improvements in profit and growth.
Find out which growth stage you're in
Before you can scale, you need to know exactly where you stand. Take two minutes and find out.
What to expect at each step
Your Growth Accelerator Call
Every DEO COO consulting engagement starts with a free 30 minute Growth Accelerator Call. A DEO operator reviews your current organizational structure, identifies your primary operational constraints, and outlines exactly how The DEO's COO consulting addresses them. Whether you are running two locations or twenty, the call gives you a clear picture of what building a truly operational organization actually looks like for your specific situation.
Operational audit and assessment
Once onboarded your DEO operator conducts a comprehensive operational audit of your organization, reviewing your current org chart, existing SOPs, scheduling systems, and leadership accountability structures across every location. For members who want the most complete diagnostic possible, an onsite assessment puts a DEO operator physically inside your locations to observe what is actually happening on the ground and identify the gaps that a remote audit cannot see.
Your operational build plan
With a clear operational picture in place your DEO operator builds a specific, prioritized operational plan tied to your most significant constraints and your current Profitability Stage. Whether the highest priority is org chart redesign, SOP development, scheduling optimization, or leadership accountability infrastructure, your plan gives you a clear sequence of operational improvements with defined outcomes, ownership, and accountability checkpoints built in.
Implementation, accountability, and ongoing consulting
From here the real work begins. Your DEO operator works alongside your team to implement the systems, structures, and accountability frameworks the plan calls for, not as a consultant who advises from a distance but as an operator who builds alongside you. As the systems take hold across your locations the consulting relationship evolves, shifting from building to optimizing, from implementation to sustainability, and from operational management to true organizational leadership.
Real practice owners. Real results.
DEO members don't just feel better about their businesses — they build fundamentally different ones. Here's what that looks like in practice.
Frequently asked questions
The DEO's COO consulting builds the operational systems, accountability structures, and leadership infrastructure that multi location dental group practices need to scale consistently and profitably. This includes org chart design and restructuring, SOP development and implementation, scheduling system optimization, and leadership accountability framework creation — all delivered by operators who have personally run dental organizations at the Entrepreneur Growth and Executive Circle scale. The goal of every COO consulting engagement is to make the owner operationally unnecessary, so they can lead the organization from above rather than manage it from within.
The DEO's onsite assessments are a diagnostic tool. A DEO operator spends time physically in your practice or locations, observes what is actually happening, and produces a detailed assessment report with prioritized action items. COO consulting is the ongoing engagement that builds the solutions the assessment identifies. Many DEO members start with an onsite assessment to get a clear, objective picture of their operational gaps and then move directly into COO consulting to address them, creating a natural and highly effective progression from diagnosis to solution.
The DEO's COO consulting is available as a fractional add-on to any full DEO coaching membership for practices at $1.2M and above. For practices interested in adding operational consulting to their membership, the best first step is raising it in your next coaching session. Your DEO coach will assess your current operational infrastructure, identify your primary gaps, and outline whether COO consulting is the right next addition for your organization. Not yet a member? Schedule a Growth Accelerator Call and we will walk you through both the core membership and the operational add-on services that make the most sense for your stage.
"Seven years ago we had three practices and visions of what we wanted to do but no roadmap and no tools. Today we are at 18 locations and we intend to continue to grow. The DEO broke our business down and helped us rebuild it in a much more effective and efficient way."
"When I joined I think we were doing around $11 million. We do about $20 million now. It was tough to navigate — every day felt like new territory. DEO helped me figure out how to grow strategically without running myself into the ground."
"Before joining DEO I was in the chair five days a week every week. Today I am 95% out of the chair. I have learned that I am far more efficient working on my business than in my business."
"The best thing we learned from DEO is that this is a business for people. Once we started tuning into our doctors, hygienists, front desk, and office managers the business took a different shape. Once you understand the fundamentals lie with the people — the numbers take care of themselves."
"Prior to joining DEO we had one office. We now have four locations — and in that original office we demolished it and built a new one double the size. A lot of it was we just did not know how to do certain things. DEO showed us there was a better way."
"When we started with DEO we had three to four locations. Since then we have grown to eight and we are about to open two more to hit 10. Me and my partner both do not practice full time anymore. DEO helped us understand the strategy behind the growth and gave us the confidence that we could actually do it."
"Talking to groups that are larger gives me a reference for what the future can hold and what the end result can be for us. It gives us motivation to keep going — and helps me see the positive in every situation."
"When we started we had four locations. Now we have 12. I take a month off every year — this last year went to Portugal and Iceland. When I joined DEO in 2018 I was practicing five days a week, had a two hour commute, and two kids under five. It was pretty stressful."
"We did about $6.5 million together last year and we should hit close to $8 million this year. When you start to scale you do not know what you do not know — and DEO stepped in and gave me clear direction and prioritization to say this is what we should be working on now and this is what is coming next."
"We went from $3M to $5M in revenue, and when I look back at all the decisions we've made building our company, The DEO has easily been the most impactful."
"My biggest frustration was I wanted to grow but I did not know how to do it without undermining the special way I take care of patients. I did not want to ruin something that was really good. DEO helped me figure out how to grow in a way that kept our mission going in the right direction."
"I spent nine years thinking the best way to be successful was to be the best clinician I could be. I ignored the business totally. DEO gave me the financial clarity I never had — and this year we are on track to go from $1.6 million to over $2 million."
"Before DEO we were at one location with 11 team members and heavily insurance dependent. We now have three locations, solid team members at all positions, and are moving more and more away from insurance dependence. We are stronger, leaner, and faster than we have ever been."
"Seven years ago we had three practices and visions of what we wanted to do but no roadmap and no tools. Today we are at 18 locations and we intend to continue to grow. The DEO broke our business down and helped us rebuild it in a much more effective and efficient way."
"When I joined I think we were doing around $11 million. We do about $20 million now. It was tough to navigate — every day felt like new territory. DEO helped me figure out how to grow strategically without running myself into the ground."
"Before joining DEO I was in the chair five days a week every week. Today I am 95% out of the chair. I have learned that I am far more efficient working on my business than in my business."
"The best thing we learned from DEO is that this is a business for people. Once we started tuning into our doctors, hygienists, front desk, and office managers the business took a different shape. Once you understand the fundamentals lie with the people — the numbers take care of themselves."
"Prior to joining DEO we had one office. We now have four locations — and in that original office we demolished it and built a new one double the size. A lot of it was we just did not know how to do certain things. DEO showed us there was a better way."
"When we started with DEO we had three to four locations. Since then we have grown to eight and we are about to open two more to hit 10. Me and my partner both do not practice full time anymore. DEO helped us understand the strategy behind the growth and gave us the confidence that we could actually do it."
"Talking to groups that are larger gives me a reference for what the future can hold and what the end result can be for us. It gives us motivation to keep going — and helps me see the positive in every situation."
"When we started we had four locations. Now we have 12. I take a month off every year — this last year went to Portugal and Iceland. When I joined DEO in 2018 I was practicing five days a week, had a two hour commute, and two kids under five. It was pretty stressful."
"We did about $6.5 million together last year and we should hit close to $8 million this year. When you start to scale you do not know what you do not know — and DEO stepped in and gave me clear direction and prioritization to say this is what we should be working on now and this is what is coming next."
"We went from $3M to $5M in revenue, and when I look back at all the decisions we've made building our company, The DEO has easily been the most impactful."
"My biggest frustration was I wanted to grow but I did not know how to do it without undermining the special way I take care of patients. I did not want to ruin something that was really good. DEO helped me figure out how to grow in a way that kept our mission going in the right direction."
"I spent nine years thinking the best way to be successful was to be the best clinician I could be. I ignored the business totally. DEO gave me the financial clarity I never had — and this year we are on track to go from $1.6 million to over $2 million."
"Before DEO we were at one location with 11 team members and heavily insurance dependent. We now have three locations, solid team members at all positions, and are moving more and more away from insurance dependence. We are stronger, leaner, and faster than we have ever been."