One partnership.
Two guides.
The whole practice.
We don't hand you a binder. We walk the path with you — a collaborative advisory for dental practice owners and emerging group operators ready for what's next.
We know the terrain. We've walked it. We walk it with you.
Between us, more than fifty years inside dental practices — as a practice manager, a multi-site operator, a consultant, and an executive. That means you get both halves of the business in one engagement: the people who run the practice, and the systems they run on.
Four kinds of support. Only one walks with you.
Dentistry has no shortage of people offering support. The difference is in what happens after the advice is given.
Asks good questions and helps you find your own answers. Genuinely valuable — and it still leaves you to work out the route on your own.
Studies the practice from the outside and delivers recommendations. Thorough, credible — and the report often outlives the change it recommended.
Shares hard-won wisdom, one relationship at a time. Personal and generous, shaped by the path that one person happened to walk.
Knows the route, has walked it, and walks it with you — from where you are to where you're going. Stays through the rollout, not just the readout.
In the fields where the stakes run highest, the person who walks you through is called a guide.
Healthcare navigation. Expedition climbing. Montessori classrooms. Private wealth. Wilderness and river outfitting. Across every one of them, the word was chosen deliberately to mean a trusted human with hard-earned mastery who stays beside you — not a voice delivering findings from a distance.
Practice ownership is exactly that kind of field: expensive, complex, and consequential. So that's the word we chose, and the standard we hold ourselves to.
Every engagement begins with one diagnostic.
The Practice Optimization Wheel™ scores your practice across eight performance drivers, with leadership and culture at the center — because everything else runs through it. What comes back is a ranked, clear-eyed picture of where your practice loses time and money, and a path to the fixes that matter most.
Every practice arrives at a different place, so the depth of the work varies. What stays constant is the sequence: see the whole picture first, then decide together what to change and in what order.
Where the Wheel routes you.
Develop leaders worth following and teams worth joining.
Team Performance & Culture Advisory
Develops the leadership skills that turn a compliant team into an invested one, then installs the rhythms that make it stick — the reimagined Morning Huddle, the Weekly 1:1, the Stay Interview, and the Friday Leadership Review.
Case Acceptance & Patient Experience Optimization
Case acceptance is a relationship and communication opportunity, rooted in how patients experience the practice and receive clinical information — closing the revenue gap that walks out the door.
Organizational Development
Leadership and culture, at scale — built for groups navigating growth across multiple locations.
Turn operational complexity into disciplined execution.
Operating Systems & Workflow Design
Diagnoses the operational gaps that limit growth, builds the fix, and stays through the rollout — designing the systems and SOPs your practice runs on.
Performance Visibility & Accountability Infrastructure
Builds the reporting cadence and accountability rhythms that make performance visible — so nothing depends on any one person remembering to check.
Growth & Transition Readiness
For owners considering acquisition, integration, or a transition — readiness assessment, diligence support, and oversight through the process.
Detailed scope, timelines, and investment are shared directly during your Practice Optimization Wheel™ readout.
Two co-founders. One standard for how this work gets done.
Penny Reed
Co-Founder & GuideWith more than 30 years in the dental industry, Penny partners with dentists and leadership teams to strengthen leadership, improve communication, and build cultures that support sustainable growth. A former dental office manager and certified behavioral consultant with the Institute for Motivational Living, she serves on faculty for the Nash Institute for Dental Learning and is the author of Growing Your Dental Business.
Gretchen Estapa
Co-Founder & GuideFounder of GME Dental Professional Services, Gretchen combines strong financial acumen with deep operational expertise across dental and orthodontic organizations. As a co-founding executive of a franchise-inspired orthodontic platform, she built the organization to 30 locations across 14 states in 18 months. She is a certified Lean Six Sigma Green Belt in Healthcare.
Guiding dental owners and operators to what's next.
Tell us a little about your practice or your group, and where the friction is right now. We'll follow up personally to talk through where to begin.