November 17, 2025
Welcome to another episode of The Dental CEO Podcast, where today, we dive deep into the world of dental practice ownership. I’m Dr. Scott Leune, and in this episode, we explore the nuanced path of acquiring and optimizing a dental practice, drawing upon years of learning and real-world experience.
Understanding the Landscape of Dental Practice Acquisitions
Taking ownership of a dental practice is a significant step in the career of any dentist. It’s a mixture of excitement, significant financial investment, and of course, a steep learning curve. About two years ago, I began my journey directly out of dental school. Like many, I had the theoretical knowledge and was brimming with enthusiasm. However, the actual process involved some groundwork that was much more complex than I initially anticipated.
I had the unique advantage of being deeply embedded in the world of dental practice management long before I decided to buy a practice. My interactions and mentorship with seasoned professionals provided me with a perspective that many dental students may not have. This background in practice management, which often goes beyond the curriculum offered in dental schools, was instrumental in preparing me for ownership.
The Journey from Acquisition to Optimization
The real journey began when I identified an undervalued practice. This practice was not just a business transaction; it was a fixer-upper that needed significant work not only on its infrastructure but also on its operational policies and patient management strategies.
One of the primary challenges was inheriting an older patient base accustomed to a certain level of informality and leniency in scheduling and payments. Changing these entrenched behaviors was essential but also a delicate task. It required a careful balance of respect and firmness, a skill that I had to learn quickly on the job.
Moreover, the physical state of the practice required attention. I underestimated the need for immediate investment in basic infrastructure—everything from dental instruments and hygiene equipment to building insulation. These were not only essential for operational efficiency but also critical in staff retention and patient satisfaction.
Growth and Scaling: Building the Foundation for Future Success
Despite the initial hurdles, the practice began to show real growth. The strategies implemented to optimize practice operations paid off, doubling the practice’s revenue in the first year. This success was not just a result of effective management but also came from understanding and tapping into the latent needs of the existing patient base, which had significant unmet dental needs.
As we stabilized the operational aspects, the focus shifted to scaling. This included improving internal systems, enhancing patient handling procedures, and refining our marketing approach to attract new patients. The growth phase is exhilarating but requires continuous learning and adaptation.
Reflections and Lessons Learned
Looking back, there are several lessons that stand out. First, the importance of understanding the full scope of what you’re getting into cannot be overstated. This includes not just the financials but also the physical and administrative aspects of the practice you are acquiring.
Also, patience is crucial. The process from identifying a practice to final acquisition can take much longer than anticipated. Being prepared for this timeline helps in managing expectations and maintaining personal and financial stability during the transition.
Finally, continuous education and engagement with the dental community, both online and offline, play a pivotal role in staying informed and prepared for the challenges of practice ownership. Events and seminars, like our upcoming Pathway to Ownership event, are invaluable for anyone looking to step into or enhance their journey in dental practice ownership.
To all aspiring dental practice owners, remember: Each challenge is an opportunity for growth. Equip yourself with knowledge, seek expert advice, and stay committed to your vision.