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A 17-year-old ran into the bleachers during a basketball game and broke all of his front teeth. He walked into Comfort Dental at 1:30 on a Saturday, bleeding, just as Dr. Brian Severance was heading out the door. His dad wasn't answering the phone and his mom lives out of state. Dr. Severance stayed.
As a kid, Brian Severance envied his older brother's braces. When he got his own, his orthodontist invited him to shadow in eighth grade and took the whole staff out to lunch. He decided then that he wanted to be a dentist. He started as a dental assistant at Comfort Dental, went to dental school, and now practices at Comfort Dental Green Valley Ranch, near Denver International Airport.
In this conversation with Shawn Zajas, he explains why he never leaves a patient lying flat to talk to them, and sits them up to talk face to face instead. He walks through how he ranks treatment so patients know what matters first and how much time they have. He shares his playbook for nervous patients. He also treats severe special needs patients under general anesthesia, people who cannot tolerate being seen or touched in a regular dental chair, in a city where the hospital wait list is two years.
For dentists, he talks about joining the partnership model, the scholarship that got him through school, and what happened when he broke both of his hands and couldn't work for a month: his partners took care of everything.
What you'll hear in this episode:
- Why a lunch with his orthodontist's staff made him want to be a dentist
- Going from Comfort Dental assistant to Comfort Dental partner
- Breaking both hands, and what his partners did while he healed
- The bleeding teenager who walked in at 1:30 on a Saturday
- Why he sits you up to talk face to face
- How he ranks treatment so you know what comes first
- His approach for nervous patients
- Treating special needs patients under general anesthesia
- His advice for dentists graduating today
Chapters
00:00 Coming up
00:56 Meet Dr. Brian Severance
01:10 Why dentistry
03:16 Where dentistry met the dream
04:38 Better than he expected
06:34 Learning the business side
09:02 Choosing Comfort Dental out of school
12:17 The scholarship
13:09 Buying into a partnership
18:16 What his classmates were weighing
22:50 The part people don't believe
26:11 The trial period
26:58 When practicing alone wears you down
30:36 Breaking both hands
33:21 If he had been a solo dentist
36:22 What's the catch?
39:55 Why franchising confuses dentists
42:40 The best days
45:04 A patient story he won't forget
48:27 Open on a Saturday
51:15 Why a new patient should trust him
56:48 Treating people well
1:01:40 Outside the office
1:02:55 How his team would describe him
1:04:24 Helping nervous patients
1:08:18 Special needs patients under anesthesia
1:11:11 Advice for new dentists
1:14:22 The dream of dentistry
Comfort Dental Green Valley Ranch, Denver, CO
A homeless veteran drove from Fort Collins to Denver for one reason: to tell his dentist he had a girlfriend and a job. That dentist is Dr. James Parfitt, and this is his story.
Dr. Parfitt grew up in Edmonton, Alberta. Before college he worked in a car dealership garage. A friend from the neighborhood started dental school the same year he started undergrad, and for four years they rode the bus to campus together, one studying dental anatomy and the other studying biology. It was his sister who finally said it out loud: maybe you should be a dentist. Nobody in his family was one. He applied anyway, landed at Temple University in Philadelphia, and finished a general practice residency at Denver Health.
He needed a little money to take his wife on a Saturday date. A Comfort Dental dentist offered him $100 a day to come in on weekends and learn how the office ran. That was 24 years ago.
In 2013 he opened Comfort Dental Mile High at 8th and Federal, close to the Broncos stadium, in a part of Denver where, in his words, no one was practicing. Some colleagues thought he was crazy to leave a busy office for it. He has been there ever since.
His patients come from group homes, from off the street, and from hard times they did not see coming. Dr. Parfitt does charity dentistry as part of a normal week and works with a veterans organization to treat veterans for free. He says the patients in 80204 remind him of the communities he serves on mission trips, and that is why he feels most at home there.
He also explains something every patient wonders about. His office does not need to pad a treatment plan to cover the bills. If you need a filling or a cleaning and nothing else, that is all you get.
Shawn and Dr. Parfitt also talk about a recent mission trip to Guatemala, where a mobile clinic saw close to 100 kids and moms a day and his son came along as a pre-dental student. They talk about what a new dentist should expect in year one, and the advice he would give his younger self: don't be afraid, and say yes.
What you'll hear in this episode:
- Why a Canadian mechanic ended up a Denver dentist
- The $100 Saturday job that started a 24-year career
- Why he opened Comfort Dental Mile High in the 80204 zip code
- How his office does charity dentistry every week
- The veteran from Fort Collins who came back to say thank you
- Why his office never invents treatment to pay the bills
- A dental mission trip to Guatemala with his son
- His advice for dentists thinking about a change
Chapters
00:00 Coming up
00:32 Meet Dr. James Parfitt
01:06 From Edmonton to dental school
03:23 The $100 Saturday job
06:22 Why he chose the Comfort Dental model
09:02 The hardest part of the first five years
10:51 The first paycheck that confirmed the decision
15:20 Choosing a different path
16:38 Paying off dental school debt
20:16 When dentistry doesn't match the dream
24:38 Treating the patient, not the overhead
26:47 A mission trip to Guatemala
31:19 Generosity nobody talks about
32:43 Autonomy inside Comfort Dental
37:07 What great partners look like
40:08 What a new Comfort Dental dentist should expect
42:25 Who is a good fit
44:53 Opening Comfort Dental Mile High in 80204
46:33 Charity dentistry and Medicaid patients
49:38 The veteran from Fort Collins
51:10 How his team would describe him
51:42 Life outside the practice
53:07 Advice for dentists who feel trapped
53:48 Don't be afraid. Say yes.
Comfort Dental Mile High, 8th and Federal, Denver, CO 80204
Dr. Rick Kushner founded Comfort Dental in 1977. Fifty years later, the franchise has around 500 partner dentists across 10 states and is approaching half a billion in annual collections. In this conversation with Shawn Zajas, Dr. Kushner tells the full origin story for the first time on the show.
He walks through the years he practiced solo, the three associates who left him holding the bag, and the moment he decided to sell a half partnership to the dentist who stayed. He explains why he lowered his fees when every other dentist was raising theirs. He describes the lecture circuit where he watched the profession refuse Medicaid, refuse middle income families, and refuse the patients he was building his practice around. He talks about the personal background that shaped all of it, including the family dentist who saw him for free when his parents could not pay.
Dr. Kushner also addresses the misconceptions. Comfort Dental looks like a corporate chain from the outside. From the inside, every doctor owns their practice. He explains why the DSO model does not apply, why he predicted the rise of private equity dentistry 40 years ago, and why he still believes the partnership model is the only sustainable answer to the debt crisis facing new dentists today.
This is the foundational episode of the series. If you want to understand Comfort Dental, start here.
Chapters 00:00 Why Shawn wanted this conversation 00:45 The recruitment challenge and why partners outperform associates 06:14 The original solo practice and the watershed moment 09:34 Selling the first partnership to Dr. Eirik 14:26 The decision to franchise and the birth of the Comfort Dental name 17:33 Lecturing the profession and being told no 19:07 Why most dentistry leaves middle and lower income patients behind 20:03 Where it came from, the family story 27:04 Dental school as a means to an end 28:49 Building the Fantastic Five 30:53 Predicting the rise of DSOs 33:20 Doing the opposite of every other dentist 35:46 What Comfort Dental does for dentist income 38:30 Why most dentists will not work the hours 40:52 Hard work as the real catch 44:39 Why dentists burn out and why patients pay the price 48:42 What makes a successful Comfort Dental dentist 53:50 Why Comfort Dental is not a DSO 55:02 No community left behind 57:44 What is most misunderstood about Dr. Kushner 58:45 Advice to dentists who feel trapped 01:02:45 Doctor autonomy inside the franchise 01:04:16 Closing thoughts
Dr. Alex Kaiser of Comfort Dental in Montrose, Colorado joins Shawn Zajas for a conversation that gets at what it actually looks like to practice dentistry with honesty, compassion, and zero judgment.
Dr. Kaiser shares his unusual path to dentistry. A great family dentist. Five years in braces as a kid. Two years of missionary service. A master’s program at LECOM in Bradenton, Florida that gave him a second shot at dental school after he was waitlisted elsewhere. He talks openly about being more of an artist than a scientist, why he paints watercolors in his spare time, and how that creative instinct shows up in the way he restores teeth.
You will hear why denture cases are some of his favorite work, why his wife calls him the most honest person she has ever met, and how he learned to communicate as someone who grew up introverted and uncomfortable with public speaking. He also gets candid about the moments that test you as a young dentist, how he separates his professional and personal sides when a patient is unhappy, and why he chose Comfort Dental straight out of dental school.
There is a clear thread running through this conversation. Dr. Kaiser treats the person, not the tooth. He talks about patients who feel ashamed about their oral health, about being honest without being harsh, and about why no one should feel afraid to walk into his office.
If you have been putting off the dentist, or if you are looking for a doctor in Montrose who will treat you like a human being first, this episode will give you a real feel for who Dr. Kaiser is.
ChaptersDr. Matthew Carlston leads doctor recruitment, expansion, and growth at Comfort Dental. In this episode, Shawn sits down with Dr. Carlston to break down what Comfort Dental actually is, why it gets confused with a DSO, and what the recruitment process looks like for doctors at any stage of their career.
The conversation covers the franchise structure, clinical autonomy, ownership pathways, and the specific math that flips a dental student from employee thinking to owner thinking. Dr. Carlston explains why the average Comfort Dental doctor stays for around 10 years, why students with more debt often outperform their peers, and why the company carries no private equity or venture capital.
Chapter markers below.
ChaptersDr. Heath Colledge has spent 19 years as a dentist. In this conversation, he pulls back the curtain on what the job has cost him, what has kept him in it, and why he tells dental students the path most of them are walking is going to break them.
Heath did not grow up in a dental family. His mom drove a school bus. His dad delivered the mail. He chose dentistry at 14 years old because the dentists he saw looked respected, lived well, and had built something. Twenty plus years later, he is one of the few dentists willing to be honest about the parts of the profession no one talks about.
He started his career as an associate. Eighteen months in, he watched his boss carry the weight of a practice alone, and he knew he wanted no part of that future. He joined Comfort Dental shortly after. The partnership model became the difference between burnout and a sustainable career. Today his office runs four partners deep. Each takes on the parts of the business they are built for. Heath handles the numbers and the bills. His partners handle hiring, firing, and operations. They share the clinical load. No one carries the whole thing alone.
Inside the conversation, Heath gets honest about what patients do not see: the payroll thoughts running through his head between root canals, the one bad interaction that ruins an entire week, the standard he holds himself to that no real practice could ever meet. He talks about the high suicide rate in the profession and why solo dentists stuck in failing practices are the ones at greatest risk. He shares the operatory stories he saves for dentist conferences, including the 20 year old denture and the patient who licked food off his prosthetic before handing it back. He gets to his core message for patients: shit happens in dentistry. Roots break. Files break. Anatomy varies. The dentist standing over you is doing their best with the body in front of them, and the dentist who promises perfection is the one to walk away from.
For dental students and burned out dentists listening, Heath delivers his sharpest advice yet on the financial reality no one prepared him for. The $180,000 associate guarantee will not pay off $500,000 in student loans. Income-based repayment freezes your debt rather than killing it. Loan forgiveness is a gamble. Ownership is the way out, and partnership is the way ownership stays survivable.
CHAPTERS
00:00 Cold open and intro 00:25 Burnout: what 19 years actually feels like 02:23 The gap dental school leaves behind 05:20 The standard you set for yourself 07:33 Why some dentists do not survive 08:31 Why Heath left his associate job 09:11 The partnership model 10:40 The patient who ruins your week 12:54 Operatory stories 14:42 The two postures of healthcare 17:17 The two times he gagged 19:51 What he wishes patients understood 22:43 Advice to his younger self 23:53 The dental student trap 29:11 The myth of clinical excellence equaling income 31:31 How partnerships actually divide the work 35:45 What he tells dental students now 37:14 How to reach Dr. Colledge
CONTACT [email protected] comfortdentalfranchise.com
ABOUT THE COMFORT DENTAL PODCAST Behind the mask. Real people. Real conversations. Hosted by Shawn Zajas. Produced by MySocialPractice. Each episode pulls back the curtain on a Comfort Dental dentist, their story, their patients, and the partnership model behind one of the largest dental groups in the country.
Learn more at comfortdental.com.
In 1991, Dr. Mike Bloss saw a small ad in the Colorado Dental Association journal. A doctor named Rick Kushner was opening a new practice and talking about something called “lean and mean.” Dr. Bloss was already 10 years into his career, working as an associate in a high-end crown and bridge practice in Colorado Springs with 70 percent overhead. He drove up, listened to the pitch, met with a few other doctors, and signed on. He and Dr. Neil Norton opened the third-ever Comfort Dental practice. More than 30 years later, with over 150 locations and 500 doctors in the system, he sits down with Shawn Zajas to tell the story.
This conversation covers the early days of Comfort Dental, the moment the practices decided to share a name and market together, the lawyer who told them they were technically a franchise, and the partnership dynamics that made the model work when most dentists were going it alone.
Dr. Bloss talks openly about the parts of dentistry that wear a doctor down. The physical demands. The emotional load of treating anxious patients. The financial pressure that builds when overhead climbs and patient flow slips. He explains why he believes the people side of dentistry is harder than the clinical side, and why financial stress can lead to poor clinical decisions. He shares his concern about new graduates carrying $500,000 to $800,000 in student debt and the pressure that puts on the profession.
He walks through the NERD system, four core functions Comfort Dental built into every practice. He explains why Comfort Dental doctors present their own treatment plans, why partnership beats solo ownership in his experience, and why a Comfort Dental practice holds its value at sale in a way a solo practice often can’t.
For patients listening, the through-line is straightforward. Lower overhead means a doctor has room to meet patients where they are. Long hours and Saturday access mean care is available when it’s needed. High patient volume means doctors get more reps, which builds clinical skill. And as Dr. Bloss puts it at the end of the episode, every patient is the right kind of patient.
For dentists evaluating their next move, this is a candid look at the model from someone who watched it start.
Chapters:
Reach Dr. Bloss: [email protected] | 303-862-2909
Dr. Jon Winnyk owns and practices at a Comfort Dental office in southeast Columbus, Ohio. He graduated from dental school on May 2, 2014, and started as a Comfort Dental partner exactly one week later. Twelve years in, his practice is built around same-day care, high-volume experience, and a mission to serve patients other offices turn away.
In this conversation with host Shawn Zajas, Dr. Winnyk shares the path that took him from wanting to be a weatherman to running one of the busiest practices in his area. He talks about the challenges of being a left-handed dentist, what it was like to shadow Comfort Dental doctors before buying in, and how he handled his peers’ skepticism about the business model. He explains why high patient volume has made him a better clinician, and why that matters for the people sitting in his chair.
He also opens up about what the work means to him now. He treats every patient like his own family. He has pulled his wife’s wisdom teeth, done his uncle’s implants, and a root canal on his best friend. He sees a large Medicaid population. He taught himself Spanish to serve his community directly. He regularly does pro bono work for patients who cannot afford treatment, including a root canal on a cancer patient who only had $100 to her name.
Dr. Winnyk walks through his approach to dental anxiety with a scary-movie analogy: if you know what is around the corner, it is not scary. He explains implants using a drywall screw. He tells the story of squeezing in a Friday afternoon root canal for a patient who had not slept in two days, and what it meant when the patient came back and called him the GOAT.
Outside the practice, he runs marathons and is training for his first Ironman. He has three kids. He keeps thank-you cards from patients on his shelf and looks at them every day.
Chapters
Dr. Matthew Carlston has been with Comfort Dental for 22 years. He grew up in Salt Lake City and decided to become a dentist after overhearing two dentists at a bank talk about buying a private island. The island never happened, but he built a career he says he would not trade. Today he recruits the next generation of Comfort Dental doctors, talking with dental students and early-career dentists across the country every week.
In this conversation with Shawn Zajas, Dr. Carlston walks through how he found Comfort Dental as a fourth-year dental student, the conversation with his wife that sealed the move to Denver, and why so many of the dentists he talks to are stuck five to seven years into their careers without realizing it.
He is honest about the hard parts of the profession. Dentists are uncomfortable a lot, he points out, because the job puts you inside 18 inches of a stranger all day. He talks about the debt most dental graduates carry without fully understanding the math behind repayment. And he shares the common pattern he sees among dentists who look successful from the outside while carrying 80 percent overhead on beautiful offices that shut down every time they take a week off.
Then he walks through what Comfort Dental actually is. Not a DSO. A network of doctor-owned practices that share marketing, share supply pricing, and share the partnership burden so no one carries it alone. He explains why 11 offices pooling marketing dollars in a single metro produces 35 to 40 new patients per month per doctor, why that volume makes doctors more clinically proficient, and why conservative treatment planning is actually easier when your schedule is full.
On the patient side, he makes a case that should matter to anyone reading this. A dentist who has done 10,000 extractions is going to be more comfortable with your tooth than a dentist who has done 100. A practice that never closes because partners cover each other is a practice where your care does not get dropped when someone takes a week off. A front desk that asks “when can you be here” instead of “what is your insurance” is a front desk designed to get you in the chair.
He also talks about the Gold Plan, Comfort Dental’s in-office discount program that tens of thousands of patients sign up for as an alternative to insurance. And he is candid about the moments he finds hardest: when a dentist outside Comfort Dental has built a beautiful practice, is burning out under 80 percent overhead, and cannot quite see the way out.
Near the end, Shawn asks him where the best opportunities are right now for doctors listening. His answer: Santa Fe, New Mexico. Albuquerque. Aurora. Cherry Creek. And Comfort Dental Franchise dot com for anyone who wants to reach out directly.
The most disarming moment in the episode is Dr. Carlston’s admission partway through: “I don’t love dentistry. I don’t know if many people do love dentistry. But practicing within Comfort Dental has made me like dentistry more than I would if I was practicing outside of it.” It is the most honest thing a dentist can say on a podcast, and it explains why he has stayed 22 years.
Chapters:
Connect: Comfort Dental Franchise: comfortdentalfranchise.com
Dr. Jhossva Rosas grew up wanting to be an architect. Then his aunt and uncle, both dentists in Peru, changed his mind. He became the seventh dentist in his family.
Today, Dr. Rosas practices at Comfort Dental South Federal in Denver, Colorado. He graduated from Tufts University School of Dental Medicine, where he won an award in prosthetics out of a class of 230. He has been practicing dentistry for over a decade and he is still expanding his skill set.
His practice in Denver serves a community where 65 to 70 percent of patients rely on Medicaid. He wants it that way. From the beginning of his career in Peru, he has been drawn to patients who need care and do not have easy access to it. The Comfort Dental model, which accepts all insurance types including Medicaid, makes that kind of practice possible.
In this episode, Dr. Rosas takes us through what a first visit actually looks like in his office. He shows patients their X-rays and intraoral photos before recommending any treatment. He spends 10 to 15 minutes explaining what he sees and walking through options. Then he tells every patient the same thing: you are the boss.
He talks about dental anxiety and the tools he uses to help patients through procedures. Headphones. A stress ball. Jokes before the needle. He also calls patients at the end of every workday to check in after their procedures. Not a form. Not a text. A phone call.
Dr. Rosas is bilingual and so is his entire team. Sixty to sixty-five percent of his patients are Spanish speakers. His associate, Dr. Farah Machi, is from Honduras. Every front desk staff member and every dental assistant in the office is bilingual. For Spanish-speaking patients in Denver, that is rare.
He recently started placing dental implants and completed aligner training. He is heading to Brazil for an intensive implant course where he will place 20 to 25 implants in a single week.
The moment that will stop you in this episode is the story he tells from his time in Peru. A patient who needed all his teeth extracted. Dentures made in advance. And the moment that patient looked at himself in the mirror and started to cry. Dr. Rosas got emotional retelling it. He says it is still the reason he shows up every day.
Chapters:
00:00 Introduction
00:25 Why dentistry, and a family of seven dentists
01:54 The artist vs. the scientist
03:59 From Tufts to Denver
04:35 What he loves most about dentistry
05:32 His Denver practice and the patients he serves
10:50 Why Comfort Dental takes all insurance types
12:14 What a first visit looks like
15:01 Handling dental anxiety
17:28 Building a connection with every patient
20:01 Common feedback after visits
21:00 Fast wisdom tooth extractions and post-procedure calls
23:10 The Gold Plan and affordability options
25:51 Quality care at a lower cost
28:20 Second opinions and same-day access
29:43 Hours and accessibility
30:25 What he wants anxious patients to know before coming in
31:18 “It’s never too late”
31:51 Biggest dental misconceptions
34:07 Team culture and office vibe
36:23 A fully bilingual practice
37:58 Clear aligners at Comfort Dental
39:30 Could the host use aligners?
40:15 Dental implants: what patients should know
43:17 Technology in dentistry: digital scanning, CBCT, lasers
45:20 Patient stories
47:06 The patient in Peru who cried
51:18 One word his patients would use to describe him
51:32 Outside dentistry: family and Peruvian cooking
52:37 The meal he makes for celebrations
53:59 Is Peruvian food spicy?
54:54 Final message to prospective patients
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