Episode 59 · Dave Gaspar · 9 Sep 2026 · 46 min

    What Pet Care Taught a Dental CEO

    The CEO of a 130-office dental group explains why his most enduring lessons about clinic leadership came from veterinary hospitals, where empathy, access and showing up when things go wrong are inseparable from the business.

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    Featured guest

    Dave Gaspar

    CEO, SmilePartners
    Dave Gaspar is CEO of SmilePartners, a predominantly Midwestern dental support organization with 130 offices across seven states. He previously served as SmilePartners' COO, spent more than a decade with Pacific Dental Services as a regional partner across Washington, Oregon and Colorado, and began his multi-site healthcare career overseeing veterinary hospitals for Banfield Pet Hospital in Arizona.
    The path to success is not complicated. It's not easy, because you are dealing with humans.
    Dave Gaspar

    Show notes

    Dave Gaspar's route to leading SmilePartners began in veterinary medicine. As a field director for Banfield Pet Hospital in Arizona, he learned to support clinicians in a care setting where patients cannot explain what hurts and where families face deeply emotional decisions. He later spent more than a decade with Pacific Dental Services before joining SmilePartners, first as COO and, for the past two years, as CEO. The group has grown through majority acquisitions to 130 offices across seven states and is now adding de novo practices to diversify its growth.

    Across veterinary and dental care, Dave sees the same four fundamentals behind a successful clinic: enough providers, genuine access to care, a steady flow of patients, and the ability to deliver and collect for the treatment clinicians diagnose. The framework is simple, but executing it is not, because every part depends on people. The conversation explores where the two sectors diverge, from dental insurance's 30-to-90-day payment cycle to the different ways teams uncover pain, build trust and help people act before a preventable condition becomes an emergency.

    At 130 offices, Dave can no longer solve every operational problem himself. His role is to build an organization that reduces friction across clinician recruitment, patient access, care delivery and payment, while developing leaders through repetition, role-play and time spent shoulder to shoulder in clinics. That same principle governs technology: judge any automation by its effect on patients, clinicians, teams and the business, communicate the reason for the change, and remember that the people closest to the work must live with its consequences.

    Key takeaways

    • SmilePartners has grown to 130 offices across seven states through majority acquisitions and has now begun opening de novo practices as a second path to growth.
    • Veterinary and dental practices share four operating fundamentals: providers, access, patients, and the ability to deliver and collect for diagnosed care.
    • Dental insurance creates a major operational difference, with part of the fee often arriving 30, 60 or 90 days after treatment rather than being collected entirely at the point of service.
    • The emotional intensity of veterinary care taught Dave to listen, show empathy and build relationships with clinicians instead of approaching every challenge as a process problem.
    • Front-desk teams should understand why patients accept or decline treatment and help people act before a filling becomes a crown, root canal, extraction or implant.
    • Scaling leadership requires repeated communication, shoulder-to-shoulder coaching and an infrastructure that empowers others to reduce friction across many offices.
    • Technology is worthwhile when it improves the experience for patients, clinicians and teams; if one group bears new friction, leaders must understand the trade-off and explain why it is necessary.
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