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The Startup Dentist

Stephen Trutter

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Guiding you from associate to grand opening. The Startup Dentist podcast is the only podcast that helps Associate Dentists go from practice, to profit, to purpose in their journey to open their own dental practice startup. With more successful dental startups than anyone else, your host Stephen Trutter is here to share all that he, and the Ideal Practices team, have learned over the years of opening successful dental startups. To learn more visit us at: https://start.idealpractices.com
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The Dental Amigos

The Dental Amigos

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Friendship, collaboration and education for the dental profession. Dentistry can be a lonely profession without good friends. The Dental Amigos hope to serve as a resource for dentists and those who like, love or spend time with dentists, and to bring the dental world together for the RIGHT reasons–fun, friendship and (practical) learning inside and outside of the operatory.
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This week, the Dental Amigos welcome returning guest Stephen Trutter, the CEO of Ideal Practices, a leading consulting firm for dental start-ups. Ideal Practices follows a proven process to guide dentists through every step of opening their start-up. Stephen Trutter has helped launch nearly 1,000 dental start-ups in his 20-year career.Stephen discu…
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- Insurance credentialing vs. negotiating: Learn the difference between these two essential processes and how they impact your dental practice. - The importance of having experts assist with insurance credentialing to ensure accuracy and efficiency. - Timelines: Credentialing can take 3-6 months, so start the process as soon as you secure your real…
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The Dental Amigos welcome DDSmatch’s Joe McGonigal, a dental industry veteran with over 20 years of experience helping dentists plan and execute successful practice transitions in both doctor-to-doctor and DSO affiliated transactions. As a “sell-side” advisor who focuses on the Greater Philadelphia area, New Jersey, Delaware and Connecticut, Joe he…
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The Dental Amigos are back! Rob and Paul discuss recent developments in the dentistry world regarding the prohibition of covenants not to compete in the employment context by the Federal Trade Commission (“FTC”). This federal non-compete ban by the FTC has been controversial spurring lawsuits that challenge the constitutionality of the ban, resulti…
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**Introduction:** Welcome to today's episode, where Stephen Trutter is joined by Steve Burns, a senior advisor with over 30 years of experience in dental equipment and technology. Together, they explore how dentists can make smart equipment purchases for their startups, ensuring that investments align with both their clinical vision and financial c…
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Introduction to the Topic: Welcome back, associate dentists! If you're on the fence about whether to pursue a startup or an acquisition, this episode is for you. Today, we're diving into the David vs. Goliath story of dental startups versus corporate dentistry, offering insights on how you can make your dream practice a reality even in the face of …
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In this episode of "The Startup Dentist," host Stephen Trutter dives into the critical topic of dental real estate. With real estate decisions being one of the most significant financial commitments for dental startups, Stephen provides essential insights to help you avoid costly mistakes. Key Points Discussed Importance of Real Estate Decisions: U…
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Choosing between starting a new dental practice or acquiring an existing one involves weighing the freedom and creativity of a startup against the immediate functionality and existing patient base of an acquisition. Each path offers unique benefits and challenges that must align with your personal goals and professional aspirations. Interested in m…
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Key Points Discussed: Introduction to Startup Marketing Strategies Timing and Budget for Marketing Importance of Tracked and Trackable Efforts Creating Compelling Marketing Messages Focusing on Appointments vs. Awareness Essential Ingredients for Successful Marketing Marketing Agency Ground Marketing Community Engagement Real-Life Success Stories D…
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Starting a new dental practice is an exhilarating journey, filled with opportunities and, unfortunately, numerous potential pitfalls. Many dentists embark on this venture with a DIY mindset, only to encounter unforeseen challenges that can hinder their progress—or worse, jeopardize their business. In our latest podcast episode, "How to Avoid the DI…
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Welcome to the Startup Dentist Podcast! In this episode, we dive into three key elements essential for launching a successful dental practice: practice, profits, and purpose. However, our discussion goes beyond the basics. We explore how crafting a robust profit strategy is pivotal for practice success. I share actionable strategies for ensuring fi…
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Hey there! Welcome back to another episode of “The Startup Dentist Podcast”, where we're all about diving into the nitty-gritty questions of dentistry and practice ownership. Today's topic is a big one: When are you ready to be a practice owner? It's a question that's probably crossed your mind more than once, whether you're a seasoned associate or…
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n the fourth episode of The Dental Amigos’ fifth season, “Assembling a Group Practice,” Rob and Paul discuss key differences between growing a DSO “de novo” (as a start-up) and by acquiring existing practices. They dive into pros and cons of both strategies, such as how branding is often more consistent in a DSO that grows its practice “de novo” an…
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In the third episode of The Dental Amigos’ fifth season, “Assembling a Group Practice," Rob and Paul discuss the logistics of offering an associate equity in a DSO. The Amigos begin by explaining the reasons why DSOs frequently offer associates equity, such as to increase associate retention and to garner associate loyalty. Then, they discuss consi…
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In the second episode of The Dental Amigos fifth season, Assembling a Group Practice, Rob and Paul discuss different strategies that DSOs employ to acquire financing for their group practice ventures. The Amigos identify different factors that lenders consider when reviewing loan requests such as liability, risk of default and success with prior de…
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In the first episode of The Dental Amigos’ fifth season, Assembling a Group Practice, Rob and Paul explain the logistics of a dental support organization (“DSO”), and discuss the variety of ways that group practices are formed. Understanding that DSOs may seem complex and difficult to understand, the Amigos kick-off the season with a breakdown of w…
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In the final episode of The Dental Amigos’ fourth season on buying a dental practice, Rob and Paul discuss critical issues buyers should consider when buying a dental practice and planning for the transition of the practice following the purchase. First, the Amigos outline strategies to help new owners facilitate a smooth transition for the remaini…
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In this episode of The Dental Amigos’ fourth season on buying a dental practice, Rob and Paul discuss common mistakes that buyers make with practice acquisitions regarding purchasing the real estate. While buyers often view the option to purchase real estate as an opportunity, the Amigos caution that it could be a liability. Tune in and learn why R…
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In this episode of The Dental Amigos' fourth season on buying a dental practice, Rob and Paul discuss how a buyer can create a healthy working relationship with a practice seller, the importance of establishing the seller’s role after closing, and the implications of certain terms that the seller may request or demand in a purchase agreement . How …
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In this episode of The Dental Amigos, Rob and Paul help listeners understand how to conduct due diligence when buying a dental practice. The Amigos know that due diligence can seem daunting to buyers and that it may be difficult for buyers to know where to start. With this in mind, Rob and Paul break due diligence down into three main categories: f…
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In the third episode of Season 4, the Dental Amigos discuss common misconceptions about the negotiation process and establishing a letter of intent when buying a dental practice. Rob and Paul give a working definition of a letter of intent and emphasize the importance of buyers having strategic communications with sellers during the initial stages …
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In this episode of The Dental Amigos, Rob and Paul discuss the logistics of finding a dental practice to purchase. The Amigos start this episode by explaining the importance of bringing a broker onto the buyer’s team as early in the process as possible, and then they focus on how to leverage key networking strategies to help find a dental practice.…
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The Dental Amigos are back for Season 4, where they’ll dig into important aspects of buying a practice, plus they’ll be tipping off listeners to some common mistakes that they’ve seen time and time again in their many collective years of assisting buyers with dental practice acquisitions. With Rob’s experience as a dental-focused attorney and Paul’…
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In the eighth episode of this season of The Dental Amigos, Rob and Paul discuss how the ownership of real estate can affect the relationship between business partners. First, the Amigos discuss the importance of shared decisions in a partnership, which sometimes can go awry if partners do not have an equal share in the ownership of the real estate.…
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In this episode of The Dental Amigos, Rob and Paul discuss some of the financial, clinical, and legal due diligence that buyers and sellers should conduct prior to entering into a partnership. First, Rob explains why it’s so important for the buyer to obtain a projected cash flow analysis. Then, Paul discusses some key considerations that buyers sh…
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In this episode of The Dental Amigos, Rob and Paul give listeners a bird's-eye view of the buy-in/partnership process from conducting due diligence to negotiating a letter of intent to closing the transaction and beyond. They also explain why it's so important to engage professional advisors such as a CPA and attorney to assist with the deal and wh…
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In this episode, the Amigos discuss how practice owners and/or associates can come across buy-in/partnership opportunities. Rob and Paul tackle this by focusing on three distinct types of opportunities: 1) finding a third-party individual who is not already involved in a practice; 2) taking an associate who has been at a practice for a few years an…
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In this fourth episode of this Dental Amigo’s season, Rob and Paul answer a vital question relating to partnerships, when is the right time? The Amigos identify and discuss crucial characteristics of an employee/owner relationship that may lead to a successful partnership, or in some cases, a not so successful partnership. Whether you are just ente…
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In this third episode of this Dental Amigos season, Rob and Paul discuss key considerations that associates and their employers should keep in mind before they agree to partner with each other. First and foremost, the Amigos chat about the importance of confirming that the practice can financially support two owners. Then, Rob and Paul propose seve…
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In this second episode of The Dental Amigos’ third season on buying into a practice and bringing on a partner, Rob and Paul discuss an opportunity that many associates are presented with: DSO partnerships. Although these offers can seem enticing, DSO partnership agreements often contain provisions that chain associates to the practice by making it …
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The Dental Amigos are back once again for a third season in their new format. In this season, Rob and Paul cover some of the business, legal, and financial considerations that buyers should keep in mind when buying into a practice, as well as those that practice owners should think about when bringing on a partner. The topics they’ll discuss in the…
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Tune in as Rob and Paul finish up their latest season of Dental Associate Agreements from an Employer’s Perspective where they answer important questions many practice owners ask as they enter the world of associateship. What makes this episode special? Rob and Paul focus their discussion on topics that are relevant to everyday practice ownership a…
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In this second-to-last episode of the Dental Associate Agreements from an Employer’s Perspective season, the Amigos discuss what practice owners need to know about restrictive covenants. Rob and Paul discuss why a robust restrictive covenant is critically important to protect the value of the goodwill of the practice. Then they explain what it mean…
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In this eighth installment of the Dental Associate Agreements from an Employer’s Perspective season, the Amigos discuss something that many practice owners often wonder– what should they do when their associate decides to leave the practice? Rob and Paul explain how planning proactively to efficiently find a replacement associate can make for a smo…
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In this 100th episode of The Dental Amigos podcast, Rob and Paul discuss how practice owners can cultivate their associates’ skills in order to grow the practice and improve patient care. They talk about the fundamental clinical procedures that every associate should be able to do unsupervised, how practice owners can teach their associates these p…
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Looking to hire an associate? Check out the Dental Amigos latest episode where they discuss how practice owners can find the best associate to fit the needs of their practice. Paul has been a dental practice owner for many years, so you won’t want to miss the great strategies he shares, including the importance of spending money to make money, as w…
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The Dental Amigos are back with a fifth episode of their Dental Associate Agreements from an Employer’s Perspective season, where they discuss the all-important topic in any employment relationship- compensation. Rob and Paul focus on helping practice owners realize that they should create an agreement that is clear and understood by both the emplo…
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In this fourth episode of The Dental Amigos, Rob and Paul discuss the importance of classifying an associate correctly, whether as an independent contractor (“1099”) or an employee (“W-2”). Rob explains it is not up to a practice owner to simply decide whether an associate will be considered an independent contractor or not. Instead, there are stat…
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In this third episode of the Dental Associate Agreements from an Employer’s Perspective season, Rob and Paul discuss the skills and experience that practice owners should look for when hiring an associate. Paul, who has hired ten associates since he became a practice owner, leads the discussion on how an employer will know if an associate is a good…
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In this second episode of the Dental Associate Agreements from an employer’s perspective season, the Amigos dive into one of the most controversial topics in associate agreements as of late- term and termination. In the recent years, the playing field has changed dramatically, and the Amigos talk about the impact these changes have had on practice …
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The Dental Amigos are back for a second season in their new format and are flipping the script by exploring Dental Associate Agreements from an employer’s perspective. In this first episode of the new season, the Amigos discuss when an employer should hire an associate and, more importantly, why they should hire an associate. Rob and Paul chat abou…
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In this tenth episode of the Dental Associate Agreements from an Associate’s Perspective Season, the Dental Amigos polled new and seasoned dentists to identify (and then answer) important “new dentist questions” to help prepare recent grads who are interviewing or starting their first jobs. Tune in and find out what questions new dentists have abou…
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In this ninth episode of the Dental Associate Agreements from an Associate’s Perspective season, Rob and Paul discuss the best ways for associates to track their compensation to make sure they are being paid what they are due. The Dental Amigos begin by explaining how guarantees and draws factor into an associate’s compensation. Then, they discuss …
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In this eighth episode of Dental Associate Agreements from an Associate’s Perspective Season, the Dental Amigos examine the idea of “clinician awareness” to help prepare new practitioners for their professional journey. The Amigos share their thoughts and experiences on how to approach and move through the interview process, as well as alternatives…
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In the seventh episode of the Dental Associate Agreements from an Associate’s Perspective Season, the Dental Amigos discuss differences between working for DSOs and owner operators, especially when it comes to the actual associate contract. The Amigos chat about restrictive covenants, liquidated damages, notice provisions, termination clauses, and …
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In this sixth episode of the Dental Associate Agreements from an Associate’s Perspective season, the Dental Amigos tackle one of the most hotly contested topics in associate contracts: restrictive covenants. Rob and Paul explain the different types of non-competition and non-solicitation covenants and how they affect an associate’s ability to pract…
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Join the Dental Amigos in their fifth episode of season 1, Dental Agreements from an Associate’s Perspective Season, as they explore different ways to avoid the traps associated with Term and Termination clauses in your Employment Agreement. Rob and Paul discuss how there is much more to terminating a contract than telling your employer you want to…
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In this fourth episode of Dental Associate Agreements from an Associate’s Perspective Season, the Dental Amigos discuss the difference between being an employee and an independent contractor, as well as the risks and benefits of both.Rob and Paul start off by touching on what it means to be treated as an employee, or in other words, a “W-2” and wha…
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In this third episode of Dental Associate Agreements from an Associate’s Perspective Season, the Dental Amigos discuss “compensation” and everything to be aware of as it relates to an associate’s first employment agreement. The Amigos discuss 3 typical compensation methods, percentage of collections, percentage of production and a fixed salary. Rob…
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