The Dental Boardroom

90: A Second Location: Should You Buy or Start Up One


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Welcome back to The Dental Boardroom Podcast

Wes Read CPA, CFP dives deep into a critical and often misunderstood topic among dental practice owners: Should you buy or open a second location?

Wes breaks down the real economics, hidden challenges, and common myths behind scaling your dental business by adding a second office. Drawing from years of client experiences and financial data, he explains why many dentists struggle — and why some succeed — in making this leap.

Whether you’re at the peak of your first practice and itching to grow, or just curious about expansion, this episode will help you approach the decision with eyes wide open.

Key Points:
  • The decision to open a second location is complex, especially for solo owners.
  • Four common reasons dentists believe they should expand — and why they're actually myths.
  • Fixed vs. variable costs in a dental practice — and why most costs are fixed.
  • The power of increasing revenue within one practice versus opening another.
  • Why delegation to associates often fails to meet expectations
  • The true demands of managing multiple practices: leadership, operations, culture, and finances
  • Scaling is possible — but only with the right business infrastructure and mindset


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