Clayton Russell, Vice President of Operational Strategy at Dental Care Alliance, one of the largest DSOs in the industry, joins host Mike Huffaker to discuss the challenges and opportunities of scaling dental operations. With over two decades of experience spanning sales, consulting, and DSO leadership, Clayton shares his unique perspective on translating strategy into measurable outcomes. From navigating vendor partnerships and technology adoption to addressing underperforming practices and managing change at scale, this conversation dives deep into what it takes to run a 400+ practice organization. Clayton offers candid insights on balancing innovation with implementation, the importance of keeping practice teams at the center of every decision, and why 2026 feels like a turning point for the industry after navigating post-COVID challenges.