Dental Practice Ownership: Critical Mistakes New Dentists Make with Jonathan Miller

mistakes clinicians make

Interviewer: Tanya Sue Maestas, DDS
Interviewee: Jonathan Miller
Edited By: Candy Velez – CRDH, BSDH

In this article, Jonathan Miller shares valuable insights into the critical mistakes he has observed dentists make and provides guidance on navigating the startup and acquisition process.

Mistake 1: Not Understanding the Importance of Where to Start

One common mistake dentists make is not having a clear starting point in their journey toward dental practice ownership.

Jonathan emphasizes the significance of understanding the starting point:

“Not knowing where to start is usually the number one thing holding doctors back from becoming an owner.”

He compares this to the process of getting into dental school, where there are clear steps to follow. Dentists must identify their first step, which may involve gaining real-world experience by working in different practice settings.

Jonathan advises dentists to consider their personal life and goals before diving into practice ownership. He highlights the importance of aligning personal and professional aspirations, stating,

“You cannot have an awesome personal life and have a crappy professional life.”

Dentists should take the time to explore different paths, such as working in a DSO or private practice, to better understand the business of dentistry.

Mistake 2: Not Understanding the Time Horizon of Practice Ownership

Understanding the concept of a time horizon is crucial for dentists embarking on their practice ownership journey.

Jonathan draws a parallel between children’s development milestones and the progression of dentists in their careers. He explains,

“There’s a time horizon to this stuff. And so some of this is just about understanding that there’s a time horizon, which is different for all of us.”

Jonathan suggests that dentists should give themselves time to achieve their goals rather than feeling pressured to meet specific milestones. He encourages dentists to focus on their own pace and follow a path that aligns with their unique circumstances. He adds,

“There isn’t any one way to go down the practice ownership path, and there isn’t any one way to make a practice successful.”

Dentists should seek guidance from experts and mentors who can provide insights into their chosen path and help them navigate the challenges along the way.

Mistake 3: Not Understanding the Flexibility of Practice Ownership

Jonathan emphasizes that practice ownership is not for everyone and that it is essential for dentists to assess their suitability for this role. He states,

“One of the mistakes is practice ownership is not for everybody.”

Dentists should consider their personal preferences, financial goals, and risk tolerance before committing to practice ownership.

Exploring alternative paths, such as partnership tracks or joining innovative DSO models, can give dentists the flexibility they desire while still allowing them to practice dentistry.

Mistake 4: Not Understanding the Impact of Real-World Education

Real-world education plays a significant role in the success of dentists in their practice ownership journey.

Jonathan highlights the importance of gaining practical experience and learning from the challenges and successes of others. He suggests dentists consider pursuing residency programs, such as AGD or GPR, to enhance their clinical skills and gain exposure to different practice settings.

Jonathan also emphasizes the value of seeking out mentors and experts who can provide guidance and support. He states,

“If you have an idea on how to do it, you need to have somebody in your corner to say, ‘Hey, that can work as long as you follow these guidelines.'”

Dentists should leverage the knowledge and experience of industry professionals to make informed decisions and avoid common pitfalls.

Conclusion and Future Outlook

Dentists should approach practice ownership carefully and seek expert guidance to maximize their chances of success.

The dental industry will continue to evolve, presenting new opportunities and challenges for aspiring practice owners.

Dentists must stay adaptable and open to different paths, leveraging their unique skills and experiences to create thriving practices.

By learning from the mistakes of others and embracing a growth mindset, dentists can navigate the complexities of practice ownership and build thriving dental practices.

Thought Leadership Summary: Fueling Dental Success with Jonathan Miller

Jonathan’s expertise in helping dentists start or acquire their own practices has provided valuable guidance on avoiding common mistakes in the dental industry.

By understanding the importance of knowing where to start, embracing a time horizon, assessing personal suitability, and gaining real-world education, dentists can navigate the path to practice ownership with confidence and success.

The future of the dental industry holds exciting possibilities for aspiring practice owners, and by staying adaptable and open to new opportunities, dentists can build thriving practices that align with their personal and professional goals.

Until next time, keep learning, keep exploring, and fuel your dental dreams with knowledge!

Photo by RDNE Stock project

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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...
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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.
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...
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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.
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, ...
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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.
Dr. Chandler Oldenburg

Tanya Sue Maestas, DDS

Dr. Tanya Sue Maestas graduated from The University of Texas School of Dentistry at Houston in 2018. During her dental school career, she served as the national American Student Dental Association President and became involved in organized dentistry. After graduating, she completed an Advanced Education in General Dentistry Residency in 2019. Upon completion of her residency, she returned to the El Paso Borderland community where she serves as a Dental Director at La Clinica de Familia in Chaparral, New Mexico. She also serves as a faculty member at the Woody L Hunt School of Dental Medicine in El Paso, Texas. She remains involved in organized dentistry and holds various leadership roles in organizations including the American Dental Association, Texas Dental Association, Academy of General Dentistry, Texas Academy of General Dentistry, Hispanic Dental Association, and others. She currently serves on the ADA Council on Communications and previously completed the ADA Institute for Diversity in Leadership Program. She was recognized as an ADA 10 under 10 winner, Incisal Edge 40 under 40, and previously nominated as one of Texas New Dentists of the Year. She currently hosts New Dentists on the Block where she helps showcase the New Dentist story and build connections with new dentists around her and Dental Fuel a podcast dedicated to sharing and learning from industry leaders’ mistakes. She has a commitment to providing dental care to the Borderland community and hopes to encourage the next generation of dentists to give back to the community.

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