How to Start a New Dental Practice or Medical Office

Are you considering starting a new dental practice or a medical office?

Whether you should start a new dental or medical office, purchase an existing practice, or work as an associate dentist or doctor is a personal choice that should keep your personal traits and values in mind.

If you are a dentist, physician, or a veterinarian and you have the entrepreneurial spirit that helps you thrive in business settings and dealing with the business aspects of running a practice, then there is little downside to owning your practice. Once you answer that threshold question, the next question is whether you should buy an existing practice or start a new practice of your own.

There are pros and cons to both approaches, and in this article our Dental Medical Attorney will discuss how to start a dental practice or medical office from ground up. The followings are some of the pros and cons of starting a new dental or medical practice explained by our lawyers who are experienced in starting new dental and medical practices.

Advantages of starting a new dental or medical practice from ground up

Starting up your new medical or dental practice provides you the opportunity to implement your own vision of how you would like to run your practice. This includes creating the work environment that you always envisioned, hiring and training employees that you believe will best suit your future practice and patients, the type of services that you would like to offer to your patients, and whether you want your practice and patients to be more insurance or out-of-pocket oriented.

Another obvious advantage of starting your own dental or medical practice, as opposed to buying an existing practice, is that you have the option of picking the location of your new practice as well as the demographic of your patients based on business surveys and analysis that include the population growth and other trends in your desired locations, the cost of leasing or buying office space, and a location that is both more convenient for you and fits the vision of the practice that you plan to own. 

If you decide to buy an existing practice, your options with regard to the location of your future practice is limited by the practices that are in the market and then further limited if you find a location that you like but the purchase price is overpriced or simply above the range that you are willing to pay to purchase a medical office or a dental practice.

Another advantage of starting up a new medical or dental practice is owning new equipment, software, furniture, etc. You will be spending a substantial amount of your life in your office so it will be much more rewarding if you feel at home and are comfortable there, not to mention that with brand new equipment you will not have to worry about fixing and repairing older equipment and the cost and headaches related to them.

Book Your Consultation with our healthcare attorney for starting new dental and medical offices

The disadvantages of starting a new dental or medical office

As an attorney who has helped healthcare providers in setting up new medical and dental offices, in my opinion, the biggest disadvantage in starting up a new practice is obviously having significant overhead and paying the costs and expenses of running your office and practice while you don’t have any patients on the first day you will open for business or not having enough patients for months after your grand opening. You should therefore anticipate that and have enough funding in place to survive between 6-18 months. 

Perhaps this is not as significant of a factor as it once was because more and more dentists and doctors build up their practices and patient-base by signing up with various insurance companies and becoming part of networks where patients find you or are referred to you. Due to the dental and medical industry becoming more insurance-oriented, the length of time that you need to survive with fewer patients is therefore shortened; of course, this also depends on your field of practice and the more specialized you are the longer and more difficult it becomes to be fully booked.

The other concern that I don’t necessarily consider to be a disadvantage is the flip side of the coin in that whenever you start on a new project or business, you lack experience in various aspects of running that business even though you were well trained in school for treating patients. 

Depending on your personal preferences, however, there are a lot of materials that you could study on how to develop business planning, systems for billing and communicating with patients, hiring and training employees, and other aspects of practice management. 

If you are not one to do your own research and learn from books and videos, you can certainly hire practice management consultants that are experienced and can help you catch up in these areas; you just have to consider that as part of your budget and funding. Rest assured, at the very least you should have the services of Dental Medical Attorney and an accountant who are well versed on how to start dental and medical practices.

If you are considering starting a new dental or medical practice, Kamkari Law’s healthcare attorney can help you with all aspects of starting your new dental or medical office, whether it forming the proper business entity for you (professional corporation, LLC, PLLC, or Partnership), making sure your business entity’s name is in compliance with State and Board rules and regulations, negotiating a lease or purchasing office space, purchasing new dental equipment, and providing you with referrals for contractors with expertise in building out your new office or referrals to companies that will help you with your credentialing with insurance companies, and other aspects of starting a new practice and establishing a patient-base that will help you grow and succeed. 

Book Your Consultation HERE if you are interested in more information on how to start your new dental or medical office. 

A. Shane Kamkari, Esq.





You can find American Bar Association’s article on “How Do I find a Lawyer” HERE.

sanaz vahid
6. November, 2021.
I have been lucky enough to work with him since I finished residency, he started reviewing all my contracts for employers as an independent dental contractor. From there he has been alongside me in my career with any legal advise I have ever needed. From residency to buying my practice to employee contracts to general counsel Mr. Kamkari is meticulous and very professional. He is always accessible and always helpful. I’m lucky to have him guide me through any major professional decision. I would never change my lawyer. Sanaz Vahid DDS
dean nazem
30. October, 2020.
I’ve known Mr. Kamkari for years as a trusted attorney. He was instrumental in selling one of my dental practices a few years back. I admire his professional expertise in handling the sale of my practice. He always operates with my best interest at heart, as he cares deeply about his clients. He is incredibly knowledgeable and dedicated, and I can trust his tactical skills and business savvy. His understanding of the law as it pertains to healthcare is stellar. I have recommended him to my colleagues and they have all been equally pleased with his services. I so look forward to working with him again. Thank you, Mr. Kamkari! -Dr. Nazem
Far Mousavi, DDS
1. July, 2020.
My experience with Shane Kamkari has been absolutely fantastic! Mr. Kamkari has always been a great resource for my dental practice. He initially helped set up my corporation and negotiated my lease. 19 years later, I cannot imagine having another business attorney. Throughout the years, he has always been a great support and is always available to go through any new business contracts or lease renewal agreements. Mr. Kamkari has always been accessible and is quick to respond to any questions and concerns that come up for me and my dental practice. He is a dedicated, trustworthy, sincere and caring person. I thank him for helping me with his expertise and advice throughout the years. I highly recommend Mr. Kamkari to anyone in need of legal services for their business!!
ali sarkarzadeh
14. June, 2020.
Mr. Kamkari is simply the best to work with. He helped me buy my practice and was on top of every little detail to make sure I would get the best deal possible. Most importantly, he always returned my calls immediately and answered any questions I had thoroughly. He is definitely the person to turn to if you wanna buy or sell your practice. Thank you Shane for being the best and always looking out for your client’s best interest. A very happy client (Ali)
Salar Azad
16. May, 2020.
Mr. Kamkari has been nothing short of superb. Between his professionalism and determination, I am confident that he is always capable of exceeding expectations. His strong work ethic has shown phenomenal results. His vast knowledge in practice sales and his calm demeanor helped me greatly to eliminate the inherent stress involved in the process. Without his suggestions, I believe that I would have been pulled into a really bad deal.
ani cherot
29. October, 2019.
I feel lucky to have worked with Shane during the purchase of my Dental practice six months ago. He is very professional, knowledgable, and responds right away to any questions or issues. He is easy to communicate with and certainly made the entire buying process less stressful. I recommend his services to anyone looking for an attorney.

Legal Representation in:

Buying & Selling Dental, Medical, & Veterinary Practices

Buy-in or Buy-out of Partnerships for Practices

Lease Agreements for Dental, Medical, & Veterinary Practices

Real Estate Contracts for Purchasing Office Space

Start-up of New Dental, Medical, and Veterinary Offices

Associate Employment Contracts

Litigation of Contract & Partnership Disputes

Family Law Representation for Dentists & Doctors Who Own Private Practices

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