Buying a Dental Practice vs. Investing in a Start-Up

Weighing the Costs of Something Borrowed vs. Something New

By: Dr. Hannah Crowell

Deciding to embark on a career in dentistry is an exciting journey, and one of the pivotal decisions you’ll face is whether to acquire an existing dental practice or build one from the ground up.

Both options come with their own set of costs, risks, and rewards.

Exploring the various financial considerations associated with each path will help enterprising dentists make informed decisions that align with their goals and financial capabilities. 

Acquiring an Existing Dental Practice

Initial Purchase Cost

Acquiring an established dental practice involves purchasing an existing business, which typically includes the patient base, equipment, and goodwill.

The initial purchase cost can vary widely based on factors such as location, patient demographics, and the practice’s financial performance. 

Facility and Equipment Upgrades

While an existing practice may already have dental equipment in place, you might need to invest in upgrades or replacements to meet your standards or comply with industry regulations.

Renovations to the physical space might also be necessary. 

Staff and Training 

Transitioning into an existing practice often involves retaining or hiring staff. Training costs may be incurred if there is a need to update skills or integrate new technologies. 

Legal and Professional Fees

Engaging lawyers, accountants, and other professionals to navigate the acquisition process incurs additional costs. This includes due diligence, contract negotiations, and ensuring compliance with regulatory requirements.

Working Capital

Acquiring a practice might require sufficient working capital to cover operational expenses during the transition period and potential fluctuations in revenue. 

Building a New Dental Practice

Construction and Build-Out Costs 

Constructing a new dental practice involves expenses related to designing, building, and outfitting the facility. This includes construction materials, interior design, and installation of dental equipment.

Equipment Investment

Purchasing new dental equipment can be a significant upfront cost. This includes dental chairs, X-ray machines, sterilization equipment, and other tools necessary for providing comprehensive dental care. 

Marketing and Brand Establishment

Building a new practice requires investing in marketing and advertising to establish your brand and attract patients. This could involve costs related to a website, signage, and promotional materials. 

Staff Recruitment and Training

Hiring and training a team from scratch involves costs associated with recruitment, salaries, and training programs. Ensuring that your staff is skilled and aligned with your practice’s values is crucial for success. 

Regulatory Compliance and Permits 

Meeting regulatory requirements and obtaining necessary permits for a new dental practice can incur additional expenses. This includes compliance with healthcare regulations, building codes, and licensing fees. 

In Conclusion 

Both acquiring an existing dental practice and building a new one have their unique financial considerations.

It’s crucial for aspiring practice owners to carefully assess their financial capabilities, risk tolerance, and long-term goals before making a decision.

Talking to a lender such as Provide will help figure out which choice will be right and make financial sense for you.

Whether opting for the stability of an established practice or the freedom of starting anew, a thorough understanding of the associated costs will pave the way for a successful and fulfilling dental career.

Keep Reading: Don’t Let The “What Ifs” Deter You From Success In Your Career!

Photo by Andrea Piacquadio

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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...
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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.
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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.
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Eva B.

Working with IGNITEDDS Coaching has been such a great experience! Having David as a dentist makes a huge difference. He truly...
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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.
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Kylinn Tucker, RDH

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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.
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Dr. Ben Truong

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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!
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Dr. Ronnetta Sartor

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Dr. Ronnetta Sartor

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Dr. Chandler Oldenburg

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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.
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Dr. Layla Lohmann

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Dr. Layla Lohmann

Working with Dr. David Rice through IGNITEDDS was a game-changer for our Doctor Development Program. We have a solid foundation with our business content and organizational support, but Dr. Rice brought in the critical pieces that truly completed the puzzle. His seamless integration of dental expertise, vendor relationships, and mentorship made an undeniable impact.
Dr. Layla Lohmann
Dr. Brad Eller

Dr. Brad Eller

Dr. Rice brought fresh ideas and meaningful structure to our doctors and offices from day one. He leads every...
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Dr. Brad Eller

Dr. Rice brought fresh ideas and meaningful structure to our doctors and offices from day one. He leads every discussion with knowledge, enthusiasm, empathy, and motivation that truly resonates. He challenged everyone to step outside their self-made boxes and sparked a renewed drive to grow and improve. His approach is humble, yet it’s clear he has discovered a better, more fulfilling way to live and lead. He inspires you to become a stronger version of yourself while embracing every opportunity. His realistic roadmap and focus on balancing success with personal happiness made our inaugural Catalyst program impactful.
Dr. Brad Eller
Dr. Andrew Le

Dr. Andrew Le

Dr. David Rice and IGNITEDDS is just what every young dentist needs! He is extremely helpful in both the clinical ...
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Dr. Andrew Le

Dr. David Rice and IGNITEDDS is just what every young dentist needs! He is extremely helpful in both the clinical and business side of dentistry. His genuine kindness is contagious and he just makes you want to keep striving for the best.
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