The Anchor Dentist Plan: A Dental Partnership Strategy for Sustainable Growth | Nate

Welcome back to the Shared Practices podcast.In this episode of Ask George, we’re diving into a question we hear all the time from aspiring owners: How do you build a real business instead of just buying yourself a job? Whether you’re preparing to purchase your first practice or thinking about expanding into your second or third location, this conversation will give you a clearer, more honest picture of what ownership really looks like today.Dentistry has changed a lot over the years. With more options like DSOs, choosing private practice is no longer the default—it’s a decision. And for many, that decision means stepping into the role of an entrepreneur. That comes with real challenges: managing rising staff costs, dealing with insurance reimbursements, and navigating tighter margins, especially in a post-COVID landscape. But at the same time, it creates an opportunity to build something that can grow beyond your own clinical work.So what’s the difference between a job and a business? If everything depends on you being in the chair day in and day out, it’s still a job—no matter how successful it looks on paper. A true business is built to operate and generate income even when you’re not there. That shift in mindset is what separates operators from owners.George breaks down a practical path to get there, including how to build around multiple providers, improve efficiency, and create systems that support long-term growth. From bringing on associates to optimizing your space and team, it’s all about creating a structure that doesn’t rely solely on you. Ready to take the next step in your dental practice journey? Visit https://sharedpractices.com to learn more about our Buyer Representation and Coaching services, designed to help dentists buy, grow, and optimize profitable practices. You can also use our Free Look to evaluate dental practice opportunities with real data before making a decision. For daily Dental Moneyball insights, strategy tips, and updates, follow us across our social channels.

Transitioning from a skilled clinician to a successful practice owner requires a radical shift in how you view the operatory. In this high-stakes episode of Coaches Corner, Caitlin Embree and Dr. Andrew Clingan break down the essential dental business strategies that separate struggling associates from thriving owners. The secret isn’t just in the hand-piece; it’s in the psychology of case acceptance and the internal systems that turn "maybe" into "yes."Dr. Clingan pulls back the curtain on the "trauma" and wisdom gained during his associate to owner transition, revealing that clinical excellence is secondary to patient trust. If a patient doesn't understand the "why," they won't value the "how." This conversation serves as a masterclass in dental practice management, focusing on the "micro-trust" moments—those small, honest interactions that build a foundation for sustainable dental practice growth. You’ll learn why "creating space" and embracing silence is more effective than any sales script, and how to handle the "not now" objection without sounding like a corporate salesman. Implementing these specific dental business strategies allows a doctor to maintain clinical integrity while ensuring the practice remains a viable, profitable entity.A critical component of modern dental business ownership is the integration of high-ROI technology. Caitlin and Andrew discuss how utilizing AI-driven radiographs and intraoral cameras isn't just about clinical accuracy; it's about shifting the burden of proof from the doctor to the data. By treating the patient as a co-diagnostician, you eliminate the friction of "supervised neglect" and move toward more predictable financial management for dentists. Whether you are currently navigating how to buy a dental practice or looking to optimize your existing startup, adopting these dental business strategies will help you stop playing "ignorant to finances" and start leading your team and patients with the conviction of a true CEO. This episode is your survival guide to navigating the complexities of patient behavior and modern clinical technology.

Are you worried that you missed the "Golden Age" of dentistry? Many dental students and associates look back at the 1980s with envy, assuming that high insurance reimbursements and low competition made that the only era for true wealth. In this episode of Ask George, Dr. George Hariri deconstructs this myth and explains why dental practice profitability in the 2020s actually offers a superior path for the entrepreneurial dentist.We shift the focus from the "Golden Age" to the "Golden Way"—a modern survival guide for transitioning from a clinical technician to a high-performing CEO. George breaks down why the current landscape of dental practice ownership is ripe with opportunity for those who embrace technology over tradition. Whether you are navigating an associate to owner transition or managing a growing firm, understanding the levers of dental practice valuation methods is critical to your exit strategy.This episode explores three distinct paths to building a $5M–$10M net worth:The Mega Practice: Why a single 14-operatory office with high dental growth strategies often outperforms a multi-location portfolio with less risk.The Multi-Location Venture: The "irrational" drive needed to scale past four locations and the financial controls required to maintain margins.The Platform Play: How modern DSOs allow for wealth creation through equity without the traditional burdens of solo ownership.Success in the mid-2020s requires extreme efficiency in marketing, patient retention, and clinical productivity. George explains how AI, guided surgery, and 3D printing have replaced "hanging a shingle" as the primary drivers of entrepreneurship for dentists. If you want to stop trading time for money and start building a "Practice 401k," this deep dive into the 170-billion-dollar dental industry is your roadmap. You aren't too late; you are exactly on time to leverage the consolidation wave and modern clinical systems for maximum financial freedom.

How do you bridge the gap between being a clinical student and achieving dental practice ownership? In this episode of the Shared Practices Podcast, Dr. Andrew Clingan returns to the mic to deliver a "survival guide" for D4s and associates planning their move from clinician to CEO. Andrew bought his practice straight out of school in 2023, and he’s pulling back the curtain on what it actually takes to double revenue in year one. If your goal is dental practice ownership, your first job is not an investment—it is a means to an end. This episode breaks down the four pillars of readiness: clinical confidence, practice management, cash runway, and leadership.We address a common dilemma for future owners: choosing between a DSO, a private practice, or a multi-location group. Andrew argues that if you want to succeed in dental practice ownership, you must prioritize clinical volume over brand names or base pay. We analyze why many private practice associate roles are "dead ends" for growth and why the "dead space" of mid-sized groups can hinder your development. Transitioning to a CEO mindset means understanding financial management for dentists; Andrew explains why keeping your personal overhead low is the key to securing bank financing for acquisitions in dentistry.Stop waiting for the "perfect time" to start your journey. We discuss how to identify a ready-to-grow practice and why most buyers pass on "diamonds in the rough" because they lack the dental business strategies to see past old wallpaper and film X-rays. This is a masterclass in dental practice management designed to help you build the clinical and financial cushion necessary for sustainable dental practice growth. Whether you are navigating the associate to owner transition or performing due diligence red flags checks on a potential acquisition, this episode provides the roadmap. Don't let your "pre-owner angst" fade into the comfort of a corporate paycheck. Learn how to stack your skills now so that when the right opportunity appears, you are prepared to execute.

Is dental practice ownership still a viable path for aspiring dentists in today's rapidly changing landscape? Join Dr. George Hariri as he navigates the complexities of dental practice ownership in the latest episode of Shared Practices. This enlightening discussion delves into the critical factors that every dentist must consider when contemplating their career trajectory in the field of dentistry.Dr. Hariri emphasizes the importance of critical thinking and self-reflection for dental professionals, urging them to assess whether dental practice ownership aligns with their personal and professional goals. With the realities of increased competition and rising operational costs, particularly in a post-COVID world, understanding the nuances of ownership is more crucial than ever.The episode outlines essential principles for a successful dental career, including job satisfaction, income needs, and the importance of asset accumulation. Dr. Hariri also contrasts traditional dental practice ownership with the growing appeal of Dental Support Organizations (DSOs), which present attractive opportunities for those who may prefer a non-ownership track. This is particularly relevant for dentists who are exploring their options in the face of changing dynamics within the profession.For those considering a leap into dental practice ownership, Dr. Hariri provides invaluable insights into entrepreneurship for dentists, offering guidance on how to buy a dental practice and navigate the complexities of dental practice acquisition. He discusses key topics such as dental practice valuation methods, due diligence red flags, and financial management for dentists, equipping listeners with the knowledge needed to excel in their ownership journey.As Dr. Hariri articulates, ownership is increasingly suited for those with an entrepreneurial mindset who are willing to actively engage in the business side of dentistry. He encourages listeners to reflect on their leadership in dental practice and consider strategies for scaling their practices while avoiding common ownership mistakes.This episode is a must-listen for any dentist contemplating their career path, offering a comprehensive overview of the dental landscape and practical advice on navigating ownership transitions. Whether you're a first-time buyer or an established owner looking to refine your dental practice marketing strategy, this episode provides a roadmap to success.Don't miss out on this opportunity to gain insights from a seasoned expert in the field.

Adding an associate to your team should be the ultimate win for dental practice ownership, but it is often the exact moment where your existing systems begin to break. In this episode, Andrew Clingan and Caitlin Embree unpack the "ugly duckling" stage—that uncomfortable transition where your previous business strategies no longer scale to support multiple doctors. If you are navigating the complexities of dental practice ownership, this episode is your survival guide for the inevitable systems failures and team tension that occur when scaling toward a sustainable dental practice.As we discuss in this segment, entrepreneurship for dentists is about developing people as much as it is about fixing teeth. Andrew gets vulnerable about the "super solo" trap: trying to out-produce your problems rather than fixing the underlying systems. We dive into the specific financial management for dentists necessary to weather the "stings" of growth—like losing $15,000 cases because the team wasn't ready to present new clinical codes.Ready to take the next step in your dental practice journey? Visit https://sharedpractices.com to learn more about our Buyer Representation and Coaching services, designed to help dentists buy, grow, and optimize profitable practices. You can also use our Free Look to evaluate dental practice opportunities with real data before making a decision. For daily Dental Moneyball insights, strategy tips, and updates, follow us across our social channels.

Are you stuck in the "defensive" trap of dental practice ownership? In this episode of Ask George, Dr. George Hariri breaks down a controversial reality: your CPA should not be your most trusted advisor if your goal is growth. While dental CPAs are essential for tax compliance and embezzlement prevention, their inherent bias toward historical data often creates a "growth ceiling" for ambitious owners. This episode serves as a survival guide for the transition from clinician to CEO, helping you identify when to listen to the brakes and when to hit the gas.We dive deep into the world of dental practice management to explain why traditional accounting metrics like staff cost percentages can be misleading. George shares his personal "Dental Moneyball" story of growing a practice from $90k to $150k and how listening to a defensive advisor during a dip could have stifled his long-term success. You will learn about the "deposit ratio"—a critical tool for spotting embezzlement—and why your CPA is the gold standard for historical accuracy but a poor guide for future projections.If you are currently navigating dental practice ownership, you need to understand the difference between offensive and defensive strategies. We discuss how to use dental growth strategies to justify temporary spikes in overhead, such as hiring a new hygienist or investing in marketing, which a standard CPA report might flagged as "red." This episode challenges you to become your own most trusted advisor, using financial management for dentists as a data point rather than a final decision.We also explore the future of dental practice profitability in the age of AI and why using tools like ChatGPT can prepare you for more nuanced conversations with your professional team. Whether you’re an associate in transition or a seasoned owner, this roadmap ensures your business decisions are fueled by vision, not just tax efficiency. Stop letting the "brakes" drive your vehicle and start mastering the levers of dental practice management today.

The wait is over for the conclusion of Nate’s journey from a solo practitioner to a multi-million dollar dental group practice owner. In Part 2 of this Practice Underwater special, Dr. George Hariri reveals the high-leverage recommendation that will allow Nate to escape the "yo-yo" effect of clinical scheduling and finally achieve sustainable growth. While Nate’s practice is already a financial powerhouse—grossing over $3.15M with elite-level systems—the missing piece isn't operational; it’s a specific human resource strategy that bridges the gap between a solo clinician and a true CEO.George breaks down the "Anchor Dentist" concept: the necessity of finding a high-caliber, workhorse provider who is incentivized through a minority equity stake. This episode acts as a survival guide for practice management in secondary or tertiary markets where doctor attraction is the primary bottleneck. You will learn why typical associate recruitment often fails in these areas and how to structure a transition that aligns a new doctor’s clinical drive with your own need for long-term stability and reduced chair time.As Nate considers his practice's terminal velocity of $4–5M, the conversation shifts to aggressive recruitment volume. George challenges Nate to move beyond local ads and use "megaphones" to find doctors willing to relocate for a significant dental financial opportunity. If you are navigating entrepreneurship and feeling stuck in the whirlwind of daily production, this episode provides the blueprint for using minority partnership as a tool for longevity, allowing you to maximize your practice valuation without selling prematurely.Ready to take the next step in your dental practice journey? Visit https://sharedpractices.com to learn more about our Buyer Representation and Coaching services, designed to help dentists buy, grow, and optimize profitable practices. You can also use our Free Look to evaluate dental practice opportunities with real data before making a decision. For daily Dental Moneyball insights, strategy tips, and updates, follow us across our social channels.

Transitioning from a solo clinician to a CEO is a journey fraught with operational hurdles, particularly when navigating the "yo-yo" effect of doctor turnover. In this episode of Practice Underwater, Dr. George Hariri sits down with Nate, a 2011 grad who successfully grew his office from $700k to over $3.1M. Despite this massive financial success, Nate finds himself back in the "whirlwind" of daily clinical operations, struggling with the common industry Achilles' heel: attracting and retaining productive associates. This conversation serves as a survival guide for any future dental practice owner looking to build a sustainable group practice without being tethered to the chair for the next twenty years.The transcript reveals a common paradox in dental practice management: having world-class systems—including a 97% reappointment rate and an impressive AR ratio—yet still facing a revolving door of providers. George analyzes Nate’s history with five different associates to determine the difference between a "good leave" and a "bad leave". For dentists pursuing sustainable dental practice growth, understanding these nuances is critical. Are you settling for the wrong cultural fit because the candidate pool feels thin? George challenges the listener to move beyond the desperation of hiring and into a phase of selective patience.As Nate looks toward an associate to owner transition or an eventual dental practice valuation for a DSO sale, the focus shifts to long-term profitability and cash flow. George argues that many owners sell too early, missing out on years of EBITDA. Instead, the discussion explores whether offering a minority equity stake is the key to stability. This episode is a masterclass in entrepreneurship for dentists, emphasizing that while doctor turnover is a natural part of the business, it shouldn't dictate your personal life or your clinical schedule.Ready to take the next step in your dental practice journey? Visit https://sharedpractices.com to learn more about our Buyer Representation and Coaching services, designed to help dentists buy, grow, and optimize profitable practices. You can also use our Free Look to evaluate dental practice opportunities with real data before making a decision. For daily Dental Moneyball insights, strategy tips, and updates, follow us across our social channels.

Is dental practice ownership still a viable path for aspiring dentists in today's rapidly changing landscape? Join Dr. George Hariri as he navigates the complexities of dental practice ownership in the latest episode of Shared Practices. This enlightening discussion delves into the critical factors that every dentist must consider when contemplating their career trajectory in the field of dentistry.Dr. Hariri emphasizes the importance of critical thinking and self-reflection for dental professionals, urging them to assess whether dental practice ownership aligns with their personal and professional goals. With the realities of increased competition and rising operational costs, particularly in a post-COVID world, understanding the nuances of ownership is more crucial than ever.The episode outlines essential principles for a successful dental career, including job satisfaction, income needs, and the importance of asset accumulation. Dr. Hariri also contrasts traditional dental practice ownership with the growing appeal of Dental Support Organizations (DSOs), which present attractive opportunities for those who may prefer a non-ownership track. This is particularly relevant for dentists who are exploring their options in the face of changing dynamics within the profession.For those considering a leap into dental practice ownership, Dr. Hariri provides invaluable insights into entrepreneurship for dentists, offering guidance on how to buy a dental practice and navigate the complexities of dental practice acquisition. He discusses key topics such as dental practice valuation methods, due diligence red flags, and financial management for dentists, equipping listeners with the knowledge needed to excel in their ownership journey.As Dr. Hariri articulates, ownership is increasingly suited for those with an entrepreneurial mindset who are willing to actively engage in the business side of dentistry. He encourages listeners to reflect on their leadership in dental practice and consider strategies for scaling their practices while avoiding common ownership mistakes.This episode is a must-listen for any dentist contemplating their career path, offering a comprehensive overview of the dental landscape and practical advice on navigating ownership transitions. Whether you're a first-time buyer or an established owner looking to refine your dental practice marketing strategy, this episode provides a roadmap to success.Don't miss out on this opportunity to gain insights from a seasoned expert in the field.