Buying vs. Starting a Dental Practice

July 16, 2025

Determine which is right for you

Top CPA Firm for Healthcare Professionals in Chambersburg, PA

One of the biggest decisions a dentist can make is whether to buy an existing practice or start a new one from the ground up. Both options have advantages and challenges, and choosing the right path can significantly impact long-term profitability and career satisfaction. At Gray Pilgrim & Associates in Chambersburg, PA, we guide dentists through every stage of practice ownership, offering HR training, tax strategies, and transition planning to set them up for success.

Buying an Existing Dental Practice

Purchasing an established practice often provides immediate benefits, such as:

1. Built-In Patient Base

An existing practice already has an active patient list, providing immediate cash flow and reducing the time needed to build a loyal following.

2. Experienced Staff and Established Systems

Practices for sale typically include trained team members and operational systems, making the transition smoother. With HR training for dental practices in Chambersburg PA, new owners can quickly integrate into the team and maintain morale.

3. Proven Revenue and Financial History

Buying a practice gives you access to financial records that help you understand its profitability. A dental transition CPA in Chambersburg PA can evaluate these numbers to ensure you’re making a sound investment.

4. Existing Equipment and Facility

An established location comes with dental equipment and a ready-to-use facility, reducing initial setup costs.

Challenges of Buying a Practice

While buying an existing practice has clear benefits, it can also present challenges, including:

  • Adjusting to inherited office culture or outdated systems
  • Managing existing staff dynamics
  • Upgrading old equipment or technology

These challenges can be addressed with proper leadership development and HR training for healthcare professionals in Chambersburg PA.

Starting a Dental Practice from Scratch

For dentists with a clear vision and entrepreneurial mindset, starting a practice from scratch offers unique advantages:

1. Complete Creative Control

You have the freedom to design the office layout, select technology, build a team, and shape the practice culture from the ground up.

2. Tailored Patient Experience

With a fresh start, you can create a unique patient experience that reflects your values and desired specialty focus.

3. Modern Systems and Equipment

Launching a new practice allows you to invest in the latest dental technology and management systems without dealing with outdated setups.

Challenges of Starting Fresh

Building a practice from scratch also involves:

  • High startup costs for construction, equipment, and marketing
  • A longer timeline to build a patient base and reach profitability
  • Managing multiple responsibilities as both dentist and business owner

A tax CPA for physicians in Chambersburg PA can help structure the practice financially to minimize taxes and plan for early profitability.

Key Considerations for Both Paths

Whether buying or starting, successful ownership requires:

  • Financial analysis: Expert guidance from dental transition CPAs ensures you understand revenue potential and expenses.
  • HR management: Proper HR training prepares you to manage staff effectively from day one.
  • Long-term planning: Clear goals for practice growth, retirement planning, and exit strategies.

Making the Right Decision

Deciding between buying or starting a dental practice depends on your goals, budget, and readiness for risk. Many dentists benefit from working with professionals experienced in dental transitions who can provide objective advice and tailored strategies.

Gray Pilgrim & Associates in Chambersburg helps dentists evaluate opportunities, navigate financing, and plan for ownership success. From HR training to tax planning and practice transitions, we offer the tools and expertise needed to build a thriving dental career.



What We Do

422 Epic Dr, Chambersburg, PA 17201, United States of America

July 16, 2025
Learn more about how to increase profitability without seeing more patients with the best cpa firm for healthcare professionals in Chambersburg, PA.
A person is using a calculator and writing on a piece of paper.
June 18, 2025
Learn more about how your chart of accounts impacts tax planning and financial visibility with the best healthcare and dental cpas in Chambersburg, PA.
A man and woman are sitting at a table talking to a woman.
June 18, 2025
Learn more about why dental practices need industry-specific financial advisors with the best healthcare and dental cpas in Chambersburg, PA.
A man is holding a sign that says `` open '' on a glass door.
May 30, 2025
Learn more about what you need to know about building a multi-location dental practice with the best healthcare and dental cpa firm in Chambersburg, PA.
A person is pointing at a graph on a screen.
May 30, 2025
Learn more about the financial due diligence to protect your investment with the best healthcare and dental cpa firm in Chambersburg, PA.
A dental office with blue chairs and a blue ceiling.
April 24, 2025
Learn about how much should a dental practice spend on overhead with the best healthcare and dental cpa in Chambersburg, PA.
A man and a woman are looking at a graph on a piece of paper.
April 24, 2025
Learn more about the real ROI of hiring a dental consultant with the best healthcare and dental cpa in Chamberburg, PA.
A man and a woman are shaking hands in an office
March 27, 2025
Learn more about how to build a high-performing dental staff with the best healthcare & dental cpa firm in Chambersburg, PA.
Three men are sitting around a table looking at a laptop.
March 27, 2025
Learn more about the top financial mistakes dentists make with the best healthcare & dental cpa firm in Chambersburg, PA.
A man in a pink suit and tie is holding a book.
February 6, 2025
Learn more about tax deductions every dentist should know about with the best dental CPA firm in Chambersburg, PA.
More Posts