Acquisitions in Dentistry: Turning Around Cash-Bleeding Offices with Nesto Part 2
Shared Practices | Your Dental Roadmap through Practice Ownership
Dr. George Hariri | Shared Practices Network
4.9 • 559 Ratings
🗓️ 16 June 2025
⏱️ 47 minutes
🧾️ Download transcript
Summary
Welcome back to Practice Underwater, where host Dr. George Hariri joins guest Nesto to analyze the messy operational realities of expanding your portfolio through acquisitions in dentistry.
They break down critical dental practice management changes at Nesto's second office, exploring how he reversed a historical cash loss into a break-even operation while mapping out sustainable dental practice growth.
The conversation dives into a massive debate surrounding acquisitions in dentistry: whether Nesto should follow his CPA's financial management for dentists advice to downsize into a single clinic, or stay committed to his long-term vision of multi-provider group practices.
For clinicians navigating an associate to owner transition, managing team bottlenecks, or scaling multiple acquisitions in dentistry, this is a must-listen for scaling clinical efficiency and portfolio profitability.
In this episode:
- Managing a two-office portfolio solo after a partnership split doubled the expected ownership workload.
- Shifting a slower second practice from a historical cash loss to a stable financial break-even status.
- Solving front desk and assistant staffing bottlenecks to protect clinical production schedules.
- Executing a four-point plan centered on targeted hiring, phone conversions, hygiene retention, and case acceptance.
- Migrating to an all-in-one cloud practice management software to slash administrative hours.
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.
Transcript
Click on a timestamp to play from that location
| 0:00.0 | Welcome back to another episode of Practice Underwater. |
| 0:06.2 | And if you're listening, well, then this is a little bit unconventional. |
| 0:10.1 | So Nesto, our guest here, I'm with Nesto today. |
| 0:13.7 | If you're listening to this, then the most recent episode was part one of Practice Underwater. |
| 0:18.0 | And that one was a little unique in that it was a solo episode. So it was |
| 0:22.0 | just me. And I spent 35 to 40 minutes going through Nesto's story. Nesto has an untraditional story |
| 0:29.5 | where he bought two practices with a partner. And then the partner ended up leaving when |
| 0:35.1 | Nesto had the two offices. They're very different in profile. |
| 0:37.8 | One is much busier than the other. And so we kind of walked through that. And if you're listening |
| 0:43.1 | to this episode, then if you haven't yet listened to the one last week, I'd recommend going |
| 0:47.6 | last week. It was just me. And then now I'm here with Nesto. It's a little bit interesting, |
| 0:51.9 | though, because Nesto and I recorded, |
| 1:13.9 | we did parts one and part two and then they didn't record. So we had a technical malfunction. Then we did part one again. And then we also had another technical malfunction. And so I just said, you know what, Nesto, let me just solo record part one, just knock that out. So we don't have to keep telling everyone your story kind of over and over again. And then we'll come back for part two. So we've already had a part two. And we talked through some things. And then now, you know, we're back to have the recorded part two that everyone else is going to listen to where you can finally get to meet Nesto. So Nesto, welcome, I guess, back to the practice underwater and welcome to the |
| 1:30.1 | first time on the airwaves of the shared practices podcast. So how's it going, Nesto? Yeah, thanks so |
| 1:35.5 | much for having me back, as you said, George. You know, hopefully third time's a charm. And obviously |
| 1:40.6 | it's a pleasure and an honor to be able to do this and to kind of share my story |
| 1:44.8 | and just have whatever insight people can pull from it, you know, on their own experiences |
| 1:49.7 | might turn out valuable, I guess. Yeah. And it's a shame that the audience didn't get to hear |
| 1:55.0 | what we had recorded because I think that for you, I really appreciated it. I talked about |
| 2:00.3 | this in my recording, but I really |
| 2:01.6 | appreciated your mindset. And so, you know, I've kind of talked through your situation. Our audience is |
| 2:06.4 | aware of, you know, all the details. I went through it at length and in detail. And so I guess |
... |
Please login to see the full transcript.
Disclaimer: The podcast and artwork embedded on this page are from Dr. George Hariri | Shared Practices Network, and are the property of its owner and not affiliated with or endorsed by Tapesearch.
Generated transcripts are the property of Dr. George Hariri | Shared Practices Network and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.
Copyright © Tapesearch 2026.