Unlocking Group Practice Opportunities For A Solo Dentist - Part 2
Shared Practices | Your Dental Roadmap through Practice Ownership
Dr. George Hariri | Shared Practices Network
4.9 • 559 Ratings
🗓️ 11 May 2026
⏱️ 32 minutes
🧾️ Download transcript
Summary
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.
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Transcript
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| 0:00.0 | Welcome back to practice underwater. And we are here with part two with our interview with |
| 0:08.3 | Elizabeth. And, you know, for anyone that didn't listen to part one, you know, I'm going to do the same |
| 0:13.2 | spiel I do every time. Go back and listen to part one. And let's just say you listen to it or let's |
| 0:18.8 | just say you ignored my instructions. Either way, I'm going to give you a little recap and a reminder. So Elizabeth has a doc who's in our mastermind |
| 0:25.7 | program and our coaching program. And she's working with Lori. And one of the things that she wrestled |
| 0:32.0 | a lot early in ownership. So she's eight full months into ownership now. She bought a practice |
| 0:37.2 | with six operatories and has an ample amount of patients, like 3,000 patients, more than she needs or more than she has capacity for, I'll put it that way. Then, you know, she's kind of been wrestling with this. Do I go with a group practice? Do I go solo? You know, do I cut insurance? I go fee for service. Do I, you know, she's kind of like debating about this whole thing. And so we spent a lot of our time because she has a real estate dilemma where she's in this, she's in this building that is six operatories, but it's on the second floor and there's no elevator and she has an older patient base. And so the stairs and the accessibility is a challenge. She does not like the building. So she's not |
| 1:11.6 | happy with her real estate. And I wanted to spend the first half of the episode. And the other piece is |
| 1:18.0 | there is this ideal, built-out dental, like all she would need to do is move equipment and some |
| 1:25.1 | minor finishing. And she could get up and running with a better |
| 1:27.7 | ground floor, more accessible six operatory practice. And so, you know, kind of the first thing that |
| 1:34.0 | I wanted to assess in part one was like, okay, is this a group practice or is this a solo office? |
| 1:40.4 | And so, you know, we went through the exercise and I asked all the critical questions |
| 1:44.2 | and I poked the holes. And we kind of arrived at the conclusion that I think that a group practice |
| 1:49.8 | is the best thing. And there was something she said, Elizabeth talked about this in the last episode, |
| 1:55.0 | or she talked about how she was like, you know, I just get excited with the group practice idea. |
| 1:59.8 | Like I like the idea of having an empowered office manager. I like the idea of building up an associate. And I kind of poked holes, like, well, how about the worst case scenario where you have a higher practice, you're managing a more complex operation, you have the flexibility that she wants because she's a mom and she wants to be there for school. But what if you have maybe less of an income? And I was very relieved to hear |
| 2:19.6 | that, you know, it seems like Elizabeth is good with the tradeoff. And I think that is, |
| 2:25.2 | that is from my perspective, one of the most important things. And so we kind of established that. |
| 2:30.6 | And now we're like, okay, we understand that we're wanting a group practice long term. |
| 2:34.9 | An ideal number of operatories is eight. And, you know, we have six at the moment. We can add two in our |
| 2:41.7 | current space. We have this building that can have six. And then there's going to be like kind of a longer |
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