2448: How to Run a 50-Person Dental Powerhouse
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Show Notes
On today’s episode, Dr. Mark Costes is joined by Ashley Keith, Chief Operating Officer of Keith and Associates Dentistry in Mission, Kansas. With a powerhouse practice of over 50 team members and 23 operatories, Ashley shares her journey from healthcare tech and HR at Cerner to leading operations, marketing, and training at one of the most systemized, patient-centric dental offices in the country.
The conversation dives into how she and her husband, Dr. Bill Keith, scaled rapidly while maintaining culture, consistency, and care quality. Ashley breaks down her approach to hiring for personality over resume, creating digital training resources, and holding weekly calibration meetings to align clinical and operational teams. She also talks about her new role as a DSI Black Belt coach, what she’s seeing in coaching calls, and why delegation without leadership is a recipe for disaster.
Be sure to check out the full episode from the Dentalpreneur Podcast!
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