In this episode, Ash and guest host, Erin, discuss whether it is still worth buying a dental practice in today’s changing landscape. They talk through how the dental industry has shifted over the past decade, with urban market saturation, shifting reimbursement rates, and the rise of DSOs (Dental Service Organizations) creating a more complex environment for new and current dentists. Paul Edwards shares that while owning a practice used to be the standard end goal for most dental professionals, now the decision requires more individual consideration and careful research into location, business model, and personal goals.

The conversation touches on the pros and cons of both starting up a new practice and buying an existing one, as well as alternatives like joining a DSO or seeking equity in a group practice. Ash discusses the need for self-awareness, understanding your appetite for risk and business management, and the importance of factoring in potential exit strategies. The episode closes with practical advice on evaluating your own goals and considering all options before committing to practice ownership in a rapidly changing dental industry.

Key Topics Discussed:

• Shifting trends in dental practice ownership
• Impact of urban market saturation
• Differences between buying a practice and starting up
• Rise and influence of DSOs in the dental industry
• Importance of location and demographics
• Role of business models: PPO, Medicaid, fee-for-service
• Lender requirements for dental startups
• Adopting existing practice culture versus building your own
• DSO purchase structures and seller lock-ins
• Associates getting equity and alternative paths to ownership
• Generational differences in career goals
• Burnout risk and planning for exit strategies