Knowledge of Operating a Dental Practice: Job Options Abound

operating a dental practice

By: Bruce Bryen

Dental school is over as is the training as an associate dentist working for a local, single-owner office.

Was the education as an associate enough to take on the responsibilities of being the top person at a dental practice where you are the owner?

Think about what you have absorbed and what questions are still open for learning from your understanding of the running of a dental practice from the clinical side of the practice to the administrative operations as well.

If the A to Z of operating a dental practice is mastered, you have gotten yourself into a position where the availability of any type of opening anywhere is available for you.

Consider a Dental Practice Merger

The merger with another dental practice is now a good fit since your knowledge of the overall operations are probably better than the dentists at the practice with whom you are merging. 

Many associates did not care about and never wanted to learn anything regarding the administrative side of a dental practice while learning the ropes at the job they obtained after getting out of dental school.

Even changing from that job to another may not have taught the associate anything more about the administrative side of dentistry in the next job as an associate as well.   

Money Saved is Money Earned

Thinking of what has been learned and applying it practically to the real world of work, understanding the administrative chores at the dental practice, think of those who don’t have to be hired.

The dentist should be prepared to assume the bookkeeping role of the practice until he or she is doing enough dentistry to afford to hire someone to do that.

Personnel management should be available to the dentist, such as knowing when to give a raise, how many people should be working at the office, and the type of effort those employees are exerting to make the practice run smoothly and become profitable.

Insurance coverage, retirement plans, and other fringe benefits to keep the employees happy and working hard are additional items that the now owner will know about as he or she has gotten additional insights into the administrative side of the dental practice.

Another benefit of these understandings is when a DSO comes along who may be interested in acquiring the practice and mostly the dentist who would fit right into the culture of the DSO. Of course, that is where the big money is supposed to be.

It’s good to see the potential and the reality of what the DSOs offer but not matter, there is still an opportunity for advancement in the DSO with a knowledge of the way the administrative side of a dental practice works. 

Jobs, Jobs, and More Jobs

With the background now earned by the new owner of a dental practice, there will be an opportunity to have many jobs with good pay, benefits, and responsibilities if they are wanted.

The associate worked his or her way up to this point and now it is time to take advantage of the job opportunities that are available.

In the event that one tires of the responsibility of owning and operating a practice, being able to slide into numerous other job opportunities with almost no responsibility if that is what is wanted will be available to this dentist in many parts of the country and that type of job offer will be ready for an acceptance soon enough.

The offers will come and the thought of an early retirement or at least a slowdown in the chores that were part of the day-to-day work are on the horizon.

From a DSO to working part-time for a dentist and going home at the end of a shift with no overtime or worrying about meeting a payroll become pleasant thoughts for this dentist.

Age is not a barrier or an asset. By this time in the career of this professional, there should be a reasonable amount of money earned and saved.

The future is something that can be contemplated with contentment because whether it’s a job or a retirement or semi workload in mind, this particular dentist is ready for anything professionally.  

Investment Opportunities are Available

At this point in the dentist’s career, investment opportunities are also readily available in the dental field.

The DSO is an intriguing choice of investment. The operations are something the dentist knows about in abundance as this was his or her life’s work.

If the dentist was flexible enough to want to learn about the administrative side of the dental practice, the DSO is made up of both sides of a dental practice.

The DSO will let this person know that they were looking for someone to hire who understands the administrative side of the dental practice. This type of hire would need little training since he or she has been working on the administrative side of dental practices while getting to this point of their career.

A dentist without administrative experience is also a good candidate for a job with a DSO since that type of organization is always looking for someone to learn and enhance the DSO. 

About the DSO

This is one of the fastest-growing organizations in the field of dentistry.

This type of entity is gobbling up dental practices all across the country and merging them into a larger, hopefully, more profitable organization with plenty of support and working capital.

If it’s the right DSO, there is plenty of security and a stable outlook on the future. There may also be a pot of money available from the DSO if an early enough investment is made into it.

The later the investment in terms of the DSO’s life cycle, the lesser the return will be to an investor. Some of the DSOs will not even take additional investors as they let those investors know that it is too late and that they have many investors and don’t need any more.  

Photo by Cedric Fauntleroy

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Testimonials

Rosie, RDH
★★★★★

Rosie, RDH

I had the pleasure of working with Candy as a dental hygiene consultant over the course of several months, and her...
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★★★★★

Rosie, RDH

I had the pleasure of working with Candy as a dental hygiene consultant over the course of several months, and her impact on both our hygiene department and overall practice was exceptional. Candy is highly knowledgeable, approachable, and genuinely invested in the success of the team. She is an excellent listener who takes the time to understand challenges and provide practical, effective solutions. One of the qualities I appreciated most was her accessibility, she was always available to answer questions, offer guidance, or return a call when needed. Her hands-on approach and commitment to helping our team succeed were evident in every interaction. Candy’s focus extends beyond productivity and practice growth; she truly cares about the people within the practice and works to create a supportive, collaborative environment. As a fellow dental hygienist, it was especially refreshing to work alongside someone who shares a similar philosophy and approach to patient care, team development, and practice success. We view many aspects of dentistry and hygiene through the same lens, which made collaboration seamless and productive. Having the opportunity to work with another hygienist who understands the challenges, opportunities, and importance of our role was invaluable. The hygiene modules she developed were incredibly valuable. They were well organized, easy to follow, and provided clear, actionable guidance. The accompanying handouts and resources gave our team the tools and confidence needed to implement new concepts successfully. Her training materials were practical, relevant, and tailored to the real-world needs of a busy dental practice. Candy’s expertise and dedication to excellence have made a lasting impact on our team. I would highly recommend her to any dental practice looking to strengthen its hygiene department, improve systems, and support the growth and success of its team. She is a true asset to any practice fortunate enough to work with her.
Rosie, RDH
Dr. Justin Elikofer
★★★★★

Dr. Justin Elikofer

Our story with IgniteDDS began almost five years ago when my wife and I purchased an established fee-for-service practice. At...

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★★★★★

Dr. Justin Elikofer

Our story with IgniteDDS began almost five years ago when my wife and I purchased an established fee-for-service practice. At the time, we promised the team that everything would stay the same. The practice was thriving, and from the outside it seemed clear they had found a successful recipe for success. Our goal wasn't to change it—we simply didn't want to mess it up.

What we discovered was that while everyone wanted the outcome of success, there wasn't alignment around how we achieved it or measured it. Success in room 1 wasn't the same as Room 2. It took us nearly four years to fully understand that because we were doing well. During that time, we also realized we weren't leading as effectively as we could have been. We weren't communicating a clear vision, establishing consistent standards, or implementing clear protocols. Instead, we allowed people to continue doing things their own way. Some team members appreciated that freedom, while others felt frustrated by the lack of consistency and direction.

After four years, we found ourselves at a crossroads. We felt stuck. Morale was low and we weren't sure we could get the practice where we wanted it to go on our own.

As owners who value relationships as much as results, David immediately stood out to us. His personality was authentic, approachable, and trustworthy. He was someone we could see ourselves learning from and building a genuine relationship with. Being local was a bonus, but what really resonated with us was that his vision for practice growth, demonstrated through his own private practice, closely mirrored our own. He had already built the type of practice we wanted to create.

This stood in contrast to many other consultants we spoke with, whose focus seemed to be on PPO models and increasing volume. David's experience aligned with the type of practice we wanted to build: a high-touch, high-end patient experience centered on quality rather than quantity.

The IgniteDDS team—David, Dawn, and Candy—started by helping us understand where we truly stood. Through discovery, data gathering, and DISC assessments, they helped us identify opportunities for improvement and build a foundation for long-term growth. Rather than jumping straight to solutions, they gave us clarity.

Candy's coaching was instrumental in aligning our hygiene department and our office as a whole with the hygiene department. With her help, we were able to improve the patient experience and new patient process.

We also tackled practical issues that had become major challenges, including an accounts receivable system that was largely out of control. IgniteDDS didn't just point out problems—they provided systems and processes to solve them.

One of the most valuable aspects of the relationship was having experienced coaches to help us navigate team conflict and leadership challenges. As practice owners, those situations can feel isolating. Having a trusted team to walk through difficult conversations and decisions was invaluable.

Another large impact came through our office managers' work with Dawn. Rather than relying on the doctors to drive every initiative, IgniteDDS empowered our office managers to take ownership of the process and lead from within the organization. They embraced that responsibility wholeheartedly. No challenge was too large or too small. Dawn consistently met them where they were and helped them develop the confidence and skills to lead. The answer was rarely, if ever, "no." Instead, it was, "Let's figure out how."

Today, our practice is more aligned, more accountable, and better equipped to deliver the experience we've always envisioned. We have clearly defined protocols, team agreements, and expectations that simply didn't exist before. Our collections have improved significantly, particularly through implementing systems that helped us address and recover outstanding balances.

If we could offer one piece of advice to another practice owner considering IgniteDDS, it would be to identify the team members who are willing to take ownership and invest in their growth. Share your vision with the IgniteDDS team, trust the process, and allow them to help shape your team into the organization you want to become.

Working with IgniteDDS has been one of the most impactful investments we've made in our practice, our team, and our own growth as leaders. Are things perfect? No. Are we closer? Absolutely, yes!

Dr. Justin Elikofer
Dr. Sanjie Jackson
★★★★★

Dr. Sanjie Jackson

I was running on empty, and honestly, everyday I thinking of my exit strategy when I met Dr David Rice. ...
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★★★★★

Dr. Sanjie Jackson

I was running on empty, and honestly, everyday I thinking of my exit strategy when I met Dr David Rice. As the sole owner of two dental practices, I knew I couldn't continue trying to do everything on my own. Not if I wanted to grow and lead at a higher level. Partnering with IgniteDDS has been, hands down, one of the best investments I've made for both my practices and my team. Just halfway through my first year with IgniteDDS, the impact has already been remarkable. The knowledge, systems, accountability, and leadership development they have provided have transformed the way we operate. Not only have I gained valuable tools and insights as an owner, but my entire team is getting empowered with skills and confidence that are helping us elevate every aspect of our patient experience and practice performance. What sets IgniteDDS apart is the genuine commitment they have to their clients' success. Their guidance is practical, actionable, and tailored to the everyday realities of me running two dental practices. I am incredibly grateful for Dr. David Rice, Dawn, Candy, and the entire IgniteDDS team. Their expertise, continuous encouragement, and unwavering support have made me feel like I am not alone on this journey. If you're a practice owner looking to strengthen your leadership, improve your systems, and create sustainable growth, I cannot recommend IgniteDDS highly enough. The value they provide is truly exceptional, and I am excited to see what the rest of this journey brings.
Dr. Sanjie Jackson
Alyse Berta
★★★★★

Alyse Berta

Dawn, thank you for the great advice and guidance you’ve shared as we work on improving our practice's efficiency. I...
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★★★★★

Alyse Berta

Dawn, thank you for the great advice and guidance you’ve shared as we work on improving our practice's efficiency. I truly appreciate your support and the time you’ve taken to help us move forward in a more streamlined and effective way. Your insight has been incredibly valuable and is helping us make meaningful progress.
Alyse Berta
Dani S.
★★★★★

Dani S.

IGNITEDDS has made a real difference in our practice and in my role as office manager. The support I’ve received has...
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★★★★★

Dani S.

IGNITEDDS has made a real difference in our practice and in my role as office manager. The support I’ve received has helped me grow with more confidence and clarity, and our systems and leadership have improved because of it. Dawn has been an incredible support to me personally, always present, approachable, and truly invested in our success. I never feel alone when challenges come up, and that level of guidance and encouragement has been invaluable. IGNITEDDS doesn’t just support practices; they support the people behind them.
Dani S.
Eva B.
★★★★★

Eva B.

Working with IGNITEDDS Coaching has been such a great experience! Having David as a dentist makes a huge difference. He truly...
Read More
★★★★★

Eva B.

Working with IGNITEDDS Coaching has been such a great experience! Having David as a dentist makes a huge difference. He truly understands the day-to-day challenges we face in practice. His insight makes their guidance practical, relevant, and easy to implement. Working alongside Dawn has been such a gift! She’s always available to answer questions, talk through ideas, and help us find the right solutions. Her advice is thoughtful, effective, and supportive. It hasn’t just helped me, it’s positively impacted our entire team and elevated our patient experience. I’m incredibly grateful to partner with Ignite as we continue to grow, strengthen our team, and serve our patients at a higher level.
Eva B.
Kylinn Tucker, RDH
★★★★★

Kylinn Tucker, RDH

I had an amazing experience with the IGNITEDDS Coaching program. Especially since I am a new hygienist, everything...
Read More
★★★★★

Kylinn Tucker, RDH

I had an amazing experience with the IGNITEDDS Coaching program. Especially since I am a new hygienist, everything you guys shared was so helpful. It’s evident that you guys prioritize each individual team member of a dental office and do everything you can to make the environment and schedule run as smoothly and efficiently as possible. I learned so much about treatment planning, Dentrix, scheduling, teamwork, and overall ways to continue improving as a new grad. I wish every dental office had the opportunity to complete this program.
Kylinn Tucker, RDH
Dr Ben Truong
★★★★★

Dr. Ben Truong

It was great working with a team to help bring out the best in each of us. Our team is ...
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★★★★★

Dr. Ben Truong

It was great working with a team to help bring out the best in each of us. Our team is small, but we work closely together to provide a great patient experience, while having fun at work as well! Your team was able to help us learn to work together, with each person having a vital role in providing care to the patient! Helping us all become streamlined and on the same page will help us become an even more successful practice!
Dr Ben Truong
Dr. Ronnetta Sartor
★★★★★

Dr. Ronnetta Sartor

The 90-Day Jump Start has been transformative for our office. Dawn and Dr. Rice guided us through implementing essential systems ...
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★★★★★

Dr. Ronnetta Sartor

The 90-Day Jump Start has been transformative for our office. Dawn and Dr. Rice guided us through implementing essential systems and processes, from new patient calls to treatment planning and case acceptance. Their focus on patient care and team accountability has helped us create better structure, improve work/life balance, and stay aligned with our goals. In a short time, our practice has grown tremendously.
Dr. Ronnetta Sartor
Dr. Chandler Oldenburg
★★★★★

Dr. Chandler Oldenburg

IGNITEDDS has been truly transformative for our practice. Within just a few months, our accounts receivable collections increased by $30K, ...
Read More
★★★★★

Dr. Chandler Oldenburg

IGNITEDDS has been truly transformative for our practice. Within just a few months, our accounts receivable collections increased by $30K, and our operations became far more streamlined. Their clear procedures and policies gave our team structure and confidence, while their step-by-step ownership guidance addressed our specific challenges. Thanks to David and Dawn, we feel more organized, empowered, and aligned than ever before. I highly recommend IGNITEDDS to any practice ready to grow and strengthen its foundation.
Dr. Chandler Oldenburg

Bruce Bryen

Bruce Bryen, CPA/CVA Dental Practice Valuation Analyst, Baratz & Associates, PA

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