2561: The Real Tradeoffs Behind De Novo Growth

2561: The Real Tradeoffs Behind De Novo Growth

Author: Dental Consulting July 27, 2026 Duration: 39:41

On today's episode, Dr. Mark Costes answers a wide range of listener questions in this Ask Me Anything edition, covering everything from managing serious back issues as a dentist to weighing the pros and cons of a de novo startup versus acquiring an existing practice. Mark shares his personal experience with spine surgeries, posture, core strength, ergonomics, and the importance of getting the right clinical support when pain becomes unmanageable. 

He also breaks down the strategic considerations behind starting fresh, buying an existing office, evaluating demographics, managing cash flow, planning for growth, and building toward a larger platform practice. The episode wraps with stories from Mark's upcoming and past mission trips, including Honduras, Fiji, the Dominican Republic, Tanzania, and the impact of providing care in communities with limited access to dentistry.

Be sure to check out the full episode from the Dentalpreneur Podcast!

EPISODE RESOURCES


Running a dental practice is about so much more than clinical skills; it's a complex business that demands leadership, strategy, and personal resilience. The Dentalpreneur Podcast w/ Dr. Mark Costes directly addresses that reality, moving past generic advice to offer concrete conversations for growth. Each episode features in-depth discussions with leading voices from dentistry and beyond, focusing on the actionable lessons that have shaped their success. You'll hear candid explorations of practice profitability, team management, systems efficiency, and the personal development required to lead effectively. The dialogue acknowledges the unique pressures and isolation that can come with the profession, providing a sense of community and practical solutions. This isn't just about working harder, but about working smarter to build a practice that supports a more balanced and fulfilling life. By translating high-level business and entrepreneurial concepts into the specific context of a dental office, the podcast serves as a ongoing resource for dentists who see themselves as innovators and business owners. Tune in for honest stories, strategic insights, and the mindset shifts needed to thrive both in the operator and in the marketplace.
Author: Language: English Episodes: 50

The Dentalpreneur Podcast w/ Dr. Mark Costes
Podcast Episodes
2600: Above the Hillary Step: The Lifestyle Practice on Your Terms [not-audio_url] [/not-audio_url]

Duration: 50:23
On today's episode, Dr. Cody Boals and Dr. Chris Green present a practical framework for scaling a dental practice during the Dental Success Summit 2026. Using the journey up Mount Everest as a metaphor for practice grow…
2599: The Tale of 2 Worlds in the Dental Office [not-audio_url] [/not-audio_url]

Duration: 55:29
On today's episode, Dr. Allen Gotora presents a powerful framework for bringing the dentist's world and the team's world into better alignment during the Dental Success Summit 2026. Drawing from his own leadership journe…
2598: The Unexpected Path From Endodontics to Mission Work in Fiji [not-audio_url] [/not-audio_url]

Duration: 30:24
On today's episode, Dr. Mark Costes takes the podcast offshore, recording from the ocean in Fiji with Dr. Jeff Clark for a conversation on military dentistry, endodontics, practice ownership, and mission work. Jeff share…
2597: Building Community in a Profession That Can Feel Isolating [not-audio_url] [/not-audio_url]

Duration: 44:00
On today's episode, Dr. Mark Costes sits down with longtime friend Dr. Paul Goodman to reflect on nearly a decade of Dental Nachos and the evolution of the community, business, and relationships built along the way. Paul…
2596: Two Philosophies for Building a Surgical Program [not-audio_url] [/not-audio_url]

Duration: 59:26
On today's episode, Dr. Taher Dhoon and Dr. Dan Briskie present two different approaches to building a successful implant practice during the Dental Success Summit 2026. Dr. Dhoon shares lessons from growing through acqu…
2595: From Chaos to Control [not-audio_url] [/not-audio_url]

Duration: 57:33
On today's episode, Ashley Keith, Sydney Robinson, and Amy Hernandez present a practical framework for moving a dental practice from chaos to control during the Dental Success Summit 2026. They break down how unclear rol…
2594: From Immigrant Roots to Building a Dental Group With Purpose [not-audio_url] [/not-audio_url]

Duration: 36:26
On today's episode, Dr. Mark Costes sits down with Dr. Albert Voravong in Fiji during a Smile Outreach International mission to talk about dentistry, entrepreneurship, family, and purpose. Albert shares his parents' immi…
2593: The Leadership Habits That Make Work and Life More Sustainable [not-audio_url] [/not-audio_url]

Duration: 52:37
On today's episode, Dr. Mark Costes explores the connection between prioritization, leverage, simplicity, and the people we choose to surround ourselves with. He shares lessons from his travels and mission work, includin…