
David Meece on Building a DSO Where Profit Follows People
The Dental Economist Show · 2026-05-07 · 51 min
Episode notes
Texas-based DSO, Pearl Street Dental Partners, has built one of the most distinctive dental organizations in the country by making one radical bet: that profit follows people. In this episode of The Dental Economist Show, host Mike Huffaker sits down with co-founder and CEO, David Meece, for an unfiltered look at how a recovering attorney built a people-first DSO that has made the Inc. 5,000 list every year since it was first eligible and grown to 50+ partner practices across Texas and Oklahoma. Tune in to explore how David's conviction that profitability is an outcome rather than a pursuit has shaped every partnership decision, why their invisible DSO model lets every practice keep its own name and culture, and how elective adoption not mandates drives near-universal buy-in across the entire organization. Most of all, this conversation is a masterclass in what it truly means to build a business around relationships first.