In this episode of Specialized, Dr. Jeremy Young speaks with Dr. Roger Burke of Metropolitan Endodontics in Minnesota, whose leadership played a key role in transitioning one of the region’s largest endodontic groups into a high-functioning, patient-focused organization through a strategic partnership with Specialized Dental Partners. 

Dr. Burke reflects on the early days of practicing without business infrastructure, the inefficiencies that surfaced as the group scaled, and how the right partnership allowed his team to return to clinical excellence—without sacrificing autonomy. He details the rigorous vetting process his group used to evaluate DSOs, why Specialized stood out, and the cultural and operational transformations that followed. 

This episode is particularly valuable for multi-doctor practices navigating growth, leadership fragmentation, or burnout, and for those looking to understand what a true clinical-first DSO model looks like from the inside. 

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