Transitioning from a clinician to a CEO is the ultimate hurdle in dental practice ownership. In this episode of Practice Underwater, Dr. George Hariri and Elizabeth navigate the "logistical nightmare" of scaling an eight-month-old practice that is already bursting at the seams. With 3,000 patients and only six operatories, Elizabeth faces a pivotal choice: stay in a challenging second-floor space or chase a "shiny object" real estate deal with mismatched timelines.

George reframes the traditional dental business ownership mindset by challenging the urge to move too soon. They break down the ROI of a $43,000 construction project to add two operatories versus the capital-intensive trap of buying a building that doesn't fit the long-term vision. This is a survival guide for any dentist wrestling with dental growth strategies and the fear of patient attrition.

The conversation pivots to the "Mega Group" concept, where George introduces the power of the 12-operatory model. For those pursuing sustainable dental practice growth, reaching 12 operatories allows for a three-doctor rotation, providing the owner with the "school schedule" flexibility they crave without sacrificing dental practice profitability. Elizabeth gains clarity on why settling in her current space—for now—is the fastest way to hire an associate and preserve her patient base.

Ready to scale your dental practice ownership?

Visit https://sharedpractices.com/ for our "Free Look" service and follow our social channels for roadmap updates. Join the community and turn your clinical skills into a thriving business.

In this episode of Practice Underwater, Dr. George Hariri sits down with a dentist, Elizabeth, to discuss the initial hurdles she faced following an associate to owner transition.

They analyze her impressive growth as a new dentist, jumping from a projected $1.2M to a $1.4M finish within eight months, while exploring dental business strategies to manage a bursting 3,000-patient base with only 11 hygiene days.

The core strategic debate centers on whether to simplify the schedule via a fee-for-service model or expand into a multi-doctor setup by hiring another dentist, a dilemma complicated by real estate constraints discussed through a Shared Practices framework.

This is a must-listen for any dentist weighing the long-term flexibility of group practice against the streamlined profitability of staying solo.

In this episode:
• Scaling production from a projected $1.2M pace to over $1.4M.
• Managing a bottleneck of 3,000 patients with only 11 hygiene days.
• The strategic debate: dropping insurance versus hiring an associate.
• Evaluating real estate options for a growing team.
• Balancing clinical autonomy with family flexibility.

Whether navigating an associate to owner transition or vetting acquisitions in dentistry, this is your survival guide. Ready to scale your dental practice ownership? Visit https://sharedpractices.com/ for our "Free Look" service and follow our social channels for roadmap updates. Join the community and turn your clinical skills into a thriving business.

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.