Keys to Building a Dental Practice That Lasts

As dentists who love what we do, it’s easy to focus on the clinical side—technology, tools, patient care—but behind every thriving dentist is a strong foundation built on people.

From startup dreams to multi-location growth, the most successful practices don’t just deliver outstanding dentistry—they understand how to build amazing teams.

People First: The Core of a Financially Strong Practice

When evaluating the financial health and potential of a dental practice, team dynamics play a pivotal role. According to industry expert Derrick Leonard, longstanding team members are one of the most positive indicators for buyers.

When a dental team has been together for 15 or 20 years, it shows stability, loyalty, and a culture of collaboration that can't be bought or built overnight.

Conversely, high turnover rates send up red flags. Buyers are cautious when a team is fractured or constantly changing. It signals potential problems in leadership, communication, or culture—and no one wants to inherit those challenges.

The dental team is, in Leonard’s words, “the heart and soul” of the practice, and savvy buyers are paying close attention.

Timing Is Everything: When to Buy, Sell, or Expand

Many dentists delay conversations around transitions—whether buying, selling, or expanding—until it's too late. One of the key takeaways Leonard emphasizes is the importance of having these conversations early. If a dentist is starting to feel tired or burned out, that’s often the best time to begin discussing options, not years down the road when decisions are being made reactively.

Leonard encourages practice owners not to make emotional or rushed decisions. Planning for retirement or transition should start with a conversation, not a crisis. With a smart strategy and the right guidance, it’s possible to turn what feels like an ending into a new beginning—whether that’s scaling up or stepping away.

Passion and Authenticity Make a Difference

What truly sets successful professionals apart isn’t just their business savvy—it’s their passion and authenticity. Leonard embodies this in both his personal and professional approach. He offers courtesy consultations because he genuinely enjoys helping people. Whether he's answering early morning calls or brainstorming plans for a new 6,000-square-foot dental facility, he brings the same level of dedication and transparency to the table.

It’s that authenticity—what he calls being “Mr. Authentic”—that builds trust. And trust is the foundation of any successful dental transition or startup.

Courtesy Consultations: Real Support for Big Decisions

Making the leap into practice ownership or preparing for a transition can feel overwhelming, but access to the right support can make the process much smoother. Leonard’s consultation calls are a no-pressure way for dentists to begin exploring what’s possible. From understanding EBITDA (earnings before interest, taxes, depreciation, and amortization) to identifying potential roadblocks, these conversations help dentists make informed, strategic decisions.

Built on Relationships, Backed by Expertise

Leonard’s approach is about so much more than metrics. Success is built on a foundation of the right people. His clients span a wide range, including those who reach out during off-hours and end up building multimillion-dollar practices. His willingness to pick up the phone, even on a Saturday morning, has led to real partnerships and real results—like the 6,000-square-foot dental facility currently under construction in Houston.

For those who are serious about starting up, scaling up, or stepping out of practice ownership, his message is clear: don’t wait. Have the conversation, get the support, and build the future of your practice with intention.

Whether you’re considering a dental startup or looking to transition out of your current practice, the keys to success remain the same: invest in your people, plan your timing wisely, and seek out authentic, expert guidance along the way. 

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