Dr. AJ Acierno built a 27-location dental group while still practicing four days a week, and he's not sugarcoating what that actually took. In this episode, he breaks down why dentistry is falling from within, what standard of care really means in today's climate, and how AI is reshaping diagnostics and accountability.

He also shares the leadership lessons he learned the hard way scaling Decision One Dental before merging with Smile Brands, where he now serves as Chief Dental Officer. If you want to understand where dentistry is headed, and what it takes to lead in it, this one's for you.