The client, a national Dental Service Organization (DSO), encountered challenges in the practice integration process, resulting in gaps and challenges onboarding newly affiliated specialty and general practices to the standard practice management system(s) and enterprise operational processes and procedures. The objective was to implement two new practice management software systems and any associated third-party integrations in general and specialty practices, standardize operational and workflow processes, optimize performance to meet future state needs, enhance the patient experience and ultimately achieve practice- and enterprise- level cost savings.