Starting a Dental Practice Checklist: The Only Guide You’ll Need to Launch Confidently

May 2025

If you’re a dentist thinking about becoming a business owner, you’re likely wondering where to start. This comprehensive guide will walk you through the must-follow starting a dental practice checklist, from planning and permits to marketing and opening your doors. Whether you're coming fresh out of dental school or transitioning from working at a clinic, here's how to build your dream dental office from the ground up.

What Is a Dental Practice?

A dental practice isn’t just a dental office, it’s a full operation. You’ll manage staff, oversee finances, handle compliance, and serve patients. Unlike working under someone else, owning a private practice means you control how care is delivered, how your patient base grows, and how your brand is perceived in the dental industry.

How To Start a Dental Practice: A Checklist for Success

1. Clarify Your Vision and Business Plan

Before you rent space or buy equipment, you need a solid business plan. This document is the foundation of your dental start-up and should include:

Your mission and goals
A target market and patient base analysis
Competitive landscape
Marketing strategies
Financial projections (startup costs, revenue, and expenses)

A strong plan not only guides your actions but helps secure financing if you need it.

2. Choose the Right Location

Real estate decisions can make or break your practice. Location affects everything — visibility, patient base, commute times, and even your overhead costs. Do your research:

Is the area saturated with dentists?
Can you attract patients based on convenience and demographics?
Will your office space support future growth?

Whether you're leasing or buying, consider long-term potential. Consult a real estate agent experienced in the dental industry to help you find the right fit.

3. How Much Does It Cost to Open a Dental Practice?

Starting costs vary widely depending on your location and goals. Here’s a breakdown:

Leasehold improvements: $100,000–$200,000
Dental equipment: $150,000–$300,000
Software and tech: $10,000–$50,000
Supplies and inventory: $25,000–$75,000
Marketing and branding: $10,000–$30,000
Licenses, permits, insurance: $5,000–$20,000

Total estimated startup costs can range from $350,000 to $550,000 or more. These figures can be daunting, but there are financing options available through banks, the SBA, and industry-specific lenders.

4. Build Your Team Early

You can’t run a successful private practice alone. Hiring and training a trustworthy team is essential. Think about:

Front office staff (reception, billing)
Dental assistants and hygienists
Lab technicians
Marketing and admin support

Use the hiring phase to shape your practice culture and values.

5. Don’t Skip Licensing and Compliance

Legal compliance is non-negotiable. Here's what you’ll need:

Dental license and DEA registration
Business license and tax ID
Malpractice and liability insurance
HIPAA and OSHA compliance documentation
Local health department approval

The ADA new dental practice checklist is a great tool to ensure you’re not missing any critical steps.

6. Prepare for Your Grand Opening

The launch phase is your chance to shine and start generating revenue. Make sure to:

Promote a grand opening event
Offer limited-time discounts or referral bonuses
Optimize your Google Business Profile
Build a simple website with online scheduling
Invest in social media and local SEO

Consider sharing behind-the-scenes videos or patient testimonials to humanize your brand. This is where your marketing efforts will start to pay off.

Owning Your Own Dental Practice Salary: What to Expect

One of the biggest motivators for dentists to go solo is financial independence. While the first year can be lean, your own dental practice salary typically surpasses associate salaries over time.

Average net income for solo practice owners ranges between $180,000 and $300,000 annually, depending on specialty, patient volume, and location. The key to success is building a loyal patient base, managing costs, and consistently improving the patient experience.

Do I Need to Be a Dentist to Open a Dental Office?

This is a common question — and the answer is yes. In most U.S. states, only licensed dentists can legally own and operate a dental practice. While you can hire business consultants and office managers, ownership typically requires a DDS or DMD degree. Non-dentists may sometimes co-own, but with strict limitations depending on local regulations.

Final Thoughts: Starting a Dental Practice Is a Long-Term Commitment

There’s no denying it — launching your own dental business is complex. But with the right strategy, team, and mindset, it can be the most rewarding decision of your career. You’re not just opening a clinic; you’re building a legacy.

Ready to Start Your Practice? Let Dr. Nate Help

If you're ready to take the leap, don’t do it alone. Dr. Nate Schott offers expert guidance for aspiring practice owners — from business planning to legal support and beyond. Let’s turn your dental dreams into a thriving reality.