
Dr. Alex Giannini has founded and served as CEO of several dental groups and DSOs. With over 29 years of experience in the clinical, administration, and management of dental practices in over 10 states, including related businesses, as well as real estate development/management.
Dr. Giannini has doubled and quadrupled dental practice revenue and profitability within a year while creating a platform and national prominence. Dr. Giannini was the founder of Comfortable Care Dental Group’s initial office in 1989 which in turn became the first group in Florida as part of the Heartland Dental growth at the turn of century. In 2008, he founded Dynamic Dental Partners Group (DDPG) which in 2014 was listed at #14 on the Inc. 5000 list for the fastest‐growing private companies in America.
Dr. Giannini practiced high‐end fee-for-service dentistry in Florida for 9 years, after which time he co‐owned and managed dental practices in Florida, Arizona, Virginia, New Jersey, Pennsylvania, and Georgia. In addition, Dr. Giannini has been featured as a guest speaker at many Practice Management conferences throughout the nation. Dr. Giannini has worked with institutional, private equity, and family‐office Investors. He has turned around 100s of practices including distressed Dental Groups and DSOs.
His role is strategic and includes shaping the philosophy and delivery of quality dental care along with implementing clinical and operational policies, structure, and protocols for his management team to deliver productive and profitable dental offices. He is also involved in doctor recruitment, complete business development, marketing, and strategic planning as a business analyst to oversee the financial operations including the dental systems, forecasting, budgeting, and goal setting of each individual affiliated office and company. Dr. Giannini is currently President of the American Academy of Dental Group Practice (AAGDP, www.aadgp.org) and part of the Association of Dental Support Organizations (ADSO www.threads.org).

Dr. Sivers graduated from Brigham Young University with a Bachelor of Science degree in zoology and graduated Summa Cum Laude from Tufts University School of Dental Medicine. For more than 15 years, he practiced in a multi-specialty practice and taught as an Associate Professor at the Tufts University School of Dental Medicine. He also served as the team dentist to the Boston Red Sox. In 2008, Dr. Sivers worked with colleagues at the Harvard Business School to discover more efficient ways to practice dentistry with fewer complications, better outcomes, and greater patient satisfaction.
In 2018, Dr. Sivers co-founded a dental group focused on improving patient care and experiences. In 2019, he was asked to join the Board of Directors of the American Academy of Dental Group Practice (AADGP) and currently sits on the Advisory Board of the Brigham Young University Marriott School of Business Wheatley Institution and Progress Through Business, Inc.
Dr. Sivers’ past dental activities include: beta testing digital impressions with MIT and Brontes Labs (now 3M); incorporating intraoral photography and 3-D imaging into routine patient care; partnering with companies to improve the quality of life and outcomes for patients, dentists, and their teams; and involving other dentists and dental offices in philanthropic dental activities (Dentistry From The Heart) to provide care to those less fortunate.
Dr. Sivers and his wife love New England, have lived in the area for 26 years, and have three children. He has sung with the Boston Symphony Orchestra Tanglewood Festival Chorus, loves landscaping, home renovations, is handy with a chainsaw, and swims, cycles, and routinely walks with his best friend, his wife.

Dr. Giannini has had over 24 years leadership experience from practicing as a Dentist, including all positions in a dental office, to being a Professor in a dental university, to running a dental assistant school, to being the VP of Doctor Development and Recruiting and Vice President of Operations for Inc. Magazine #14 fastest-growing private company and Dental Support Organization.
Dr. Giannini achieved success in complex business models in key leadership roles. As VPO for Dynamic Dental Partners Group, she consistently delivered revenue and EBITDA goals for 34 Dental offices including a company-best 65.5% revenue growth and 285% office EBITDA in 2013 for the Implantis Oral Surgery Group.

With over 30 years of HR, operational, compliance, and marketing experience, Lisa’s personal philosophy is rooted in servant leadership. She is passionate about helping Aligned Dental make the most of its resources and talent while helping team members experience maximum support and enhanced quality of life. Her focus from an HR perspective is on the importance and value of the Team members. Lisa joins Dr. Giannini, Dr. Sivers, Dr. Veronica, and the rest of the ADS support team in the collective conviction that if you take care of the employees, they will take care of our patients and the business will thrive. She wholeheartedly believes that to facilitate company growth and the achievement of its goals, the focus should be placed on employee relations and grounded in communication and responsiveness.
Lisa was born in Connecticut but spent most of her informative years in the suburbs of Detroit. While attending USF, she began her career designing cutting-edge, customized selling systems, marketing, and software user interface for a real estate software development company. After obtaining a B.A. in Criminology and Political Science, summa cum laude, she relocated to Boca Raton, Florida to join Cybrant (later Blue Martini Software), an exciting start-up software company that developed e-commerce and CRM solutions that revolutionized complex configuration on the internet in real-time. This is where she developed her niche for wearing several hats as she served the organization both from a marketing standpoint as well as handling HR while managing office and facilities issues.
Lisa entered the dental industry in 2008 as the Chief Administrative Officer for Dynamic Dental Partners Group, alternately and simultaneously managing human resources, legal administration, project management, facilities, compliance/risk management and marketing over the next eight years from an initial two practices with twenty employees to forty practices with over five hundred employees. Under the tutelage and mentorship of Dr. Alex Giannini, she became indoctrinated into the dental industry and learned the art of building DSO infrastructures that are scalable and poised for growth.
Lisa’s next venture was spending three years as VP of Operations, HR, and Compliance for a local DSO with eight locations on the Gulf Coast of Florida. With the formation of Aligned Dental, Lisa is thrilled to once again join forces with Dr. Giannini and the team and feels as though she has come home!
Lisa holds professional certifications in Human Resources as an SPHR (Senior Professional in Human Resources) and holds the OSHA designation of PCG (Professional Certificate for General Industry). She is also certified as an OSHA and HIPAA Trainer.
When Lisa is not supporting ADS, she spends her time creating. She has two grown children, a daughter and a son, who are 6th generation circus performers, musicians, and artists, and four treasured grandchildren. She enjoys reading, painting, and any activity that involves nature and the outdoors. She believes that life is all about continually learning and growing.

Chris jointly heads Aligned Dental, providing consulting and advisory services to dental companies throughout North America. Chris leads engagements with DSOs and large group practices to help grow their business, build infrastructure, and facilitate M&A activity. Chris and his team support dental companies throughout their lifecycle while driving EBITDA, reducing costs, and growing enterprise value. He oversees the operations of the firm and manages its team to best support individual client goals.
Chris has supported dentists and their businesses for over a decade and brings extensive experience in both consulting and executive leadership in the dental field. In 2015, he co-founded Aligned Dental which in 2022 was listed #794 on the Inc 5000 list for the fastest‐growing private companies in America. He has served various executive roles including CEO and COO for several client dental groups, including the founding COO for a New York-based dental support organization he started with a dentist investor. Prior to that, he served as the Director of Consulting for the then-largest consultancy to dental practices in the country. In that role, Chris oversaw a team of consultants who worked with hundreds of the country’s top dentists whose focus was to grow practice revenue and increase efficiency.
Chris started his career as a Big 4 Management Consultant where he advised leading Fortune 500 companies and the Department of Defense. His experience includes facilitating mergers and acquisitions, implementing ERP systems as part of major supply chain transformations, and developing and implementing enterprise performance management systems.
Chris has a B.S. from the Pennsylvania State University, Smeal College of Business, and holds various consulting and management certifications. Chris resides in Chagrin Falls, OH with his wife, two young daughters, and their beloved dog. He can be reached at: chris@aligneddentalpartners.com.

John co-founded and jointly heads Aligned Dental, after spending the last decade working directly with 2,000+ dental practices. John focuses on the analytical aspects of each new client and develops customized solutions aligned to the goals of each individual practitioner.
Prior to this role, John served as the Chief Development Officer for a New-York-based DSO which he co-founded with a dentist investor. He handled all aspects of the due diligence and the acquisition and transition phases for affiliated dental offices. John developed a strategic acquisition plan that was used to successfully acquire and assimilate the DSOs practices, and also oversaw dentist recruitment, identifying top tier, high-talent practitioners to provide outstanding patient care.
Prior to co-founding the DSO, John spent 9 years with the nation’s premier dental consultancy. As the Director of Business Development, John oversaw a team of analysts that assessed 1,000s of dental practices, both domestically and internationally, each year. Additionally, John personally performed in-depth analysis for many of the largest and most-premier dental offices in the country.
John is a graduate of the Pennsylvania State University with a degree in business management.

John has more than 30 years of finance experience in professional services firms including five years with private equity-backed multi-site healthcare/ dental service organizations, seven years in software development and technology services, nine years in the industrial manufacturing and distribution industry, and over four years in the mobile telecommunications vertical. He has led all aspects of finance and accounting, including budgeting, forecasting, cash management, debt management, financial reporting, analysis, contract management, and compliance. John also has extensive experience in risk management and distressed financial and turnaround management. And he has worked extensively with various private equity funds and creditors to facilitate post-acquisition management and platform integration of newly acquired companies.
His lengthy list of accomplishments includes an IPO, two restructurings/bankruptcies, multiple corporate divestitures, two post-acquisition dental platform integrations, various dental practice acquisitions, and de novo site openings and multiple ERP, practice management, and technology system implementations.
As our CFO, John directs the accounting team and oversees the financial activities of the company while forecasting and fostering future growth. He brings a wealth of financial knowledge and DSO experience to ADS, and we’re incredibly fortunate to have him! We will continue to achieve financial growth and operational success with his strategic direction and support.

Michelle Groothouse
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Christine is the Director of Clinical Operations for Aligned Dental. She assists our teams with creating clinical policies and procedures, builds groups’ procurement departments by analyzing their supply chain and optimizing vendor relations. She has worked with various DSOs and Group Practices to drastically reduce the cost by creating formularies for dental supplies, labs, office supplies, and all areas of procurement. She creates streamlined procurement processes for the company to reduce costs and maximize efficiency. Christine helps onboard clients, advises and develops strategic plans, and assists with implementation plans.
Christine hails from Pennsylvania and is a detail-oriented, highly motivated team member with over 27 years of dental experience. She has taught as a dental professor for seven years and served as the Director of Education for a DSO. She enjoys passing on her passion for dentistry to those eager to learn in the dental field. She has held a variety of roles in a DSO that supported 30 + dental offices in three states. She worked her way up quickly through the ranks of the company, showing she has what it takes to succeed and learn all aspects of a DSO and dental group. Working in multiple departments allowed Christine to develop and evaluate goals, and in turn, execute a prescription that will guarantee success for her team. She leverages her strong background in results-oriented management to instrument positive change, continuous improvement, and innovative solutions in all clinical operations.
Christine has an Associate’s Degree in Electronic Healthcare Records/Healthcare Management and is a CDA and an EFDA in the state of Pennsylvania. When Christine isn’t focused on dentistry, she is focused on her 11-year-old daughter. She loves taking trips and creating memories with her family and friends at her family cabin.

George has a strong foundation of ethics, knowledge, and skill and brings much accounting experience to Aligned Dental (26 years!). He earned his bachelor’s degree in management at the University of National and World Economy in Sophia, Bulgaria. George embarked on an accounting career that garnered him robust opportunities for growth and development in his field. After becoming certified in accounting operations in the US, he worked for a contracting company for 15 years (until COVID). He did all end-to-end accounting for the organization, including project management for development projects, permit procurement, bid negotiations, annual budgeting and forecasting, and payroll and tax work. George’s strengths in organization and attention to detail enabled him to wear many hats – which is a must at ADS!
We are very fortunate to have George on the team. Very quickly, he has demonstrated a tremendous work ethic, commitment, and expertise that will bring much value to our team.
On a personal note, George is from Sophia, Bulgaria, and came to the US almost 20 years ago. When he is not working, he enjoys spending time with his wife and two children.

Paula Salgado
Paula has extensive experience in both traditional print and digital advertising. She found her penchant for marketing at a very early age when her father, a commercial lithographer, introduced her to the importance of brand recognition with exposure to glossy ad graphics and logos that would attract consumers.
After going to college in Coro, Venezuela, Paula ran a retail/wholesale bakery and grocery store, had a few head of cattle, and a movie rental store! She then returned to the US to begin her career in newspaper advertising. That included more than 20 years in multimedia sales, from classified line ads to full-page display print ads, billboards, direct mail, radio, and cable TV. Paula went on to help launch huge online pioneers such as cars.com, space.com, and match.com while working at FloridaToday (Gannett Publishing). By 2015, Paula worked her way up to Director of Sales Operations for The New York Times Regional Media Group.
Afterward, she transitioned to the hospitality vertical as Director of Sales and Marketing for Aimbridge Hospitality, one of the largest hotel management companies in the world. Her main objective was to build the hotel’s reputation through direct and indirect marketing initiatives and bring in groups/guests with the highest ROI. As a part of ADS, Paula is responsible for creating marketing plans and initiatives that deliver results.
Paula grew up in North Haven, Connecticut. She enjoys the great outdoors (anything related to nature), trail hiking, painting, crocheting, and cooking. She is fluent in Spanish, though she speaks English to her dog Abby!