2586: How to Choose the Right Practice Exit Path

2586: How to Choose the Right Practice Exit Path

Author: Dental Consulting August 31, 2026 Duration: 41:12

On today's episode, Dr. Mark Costes welcomes back Brannon Moncrief of McLerran & Associates for a timely conversation about the current dental transition market, DSO consolidation, and how practice owners should evaluate their exit options. Brannon breaks down why the DSO market has shifted since the white-hot acquisition years of 2021 and 2022, how higher interest rates and more disciplined buyers have changed valuations and deal structures, and why alignment between sellers and DSOs matters more than ever. 

He also compares DSO affiliations with private doctor-to-doctor sales, explaining how revenue, EBITDA, cash at close, work-back expectations, equity risk, and operational support all factor into the decision. Together, Mark and Brannon discuss when a private sale may make more sense, when a DSO deal may be worth exploring, and why understanding both the economics and the "why" behind a sale is essential for making the right transition decision.

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
2569: What High-Level Dental Operators Do Differently Pt. 2 [not-audio_url] [/not-audio_url]

Duration: 1:02:16
On today's episode, Part 2 of the same keynote, Dr. Mark Costes continues his tactical playbook for building a more effective, systemized dental practice. He breaks down the five core steps of leadership, explains how to…
2568: What High-Level Dental Operators Do Differently Pt. 1 [not-audio_url] [/not-audio_url]

Duration: 1:04:25
On today's episode, Part 1 of a two-part keynote, Dr. Mark Costes shares a tactical playbook for leading and operating a high-performing dental practice. Drawing from his experience owning 16 practices—and from the mista…
2566: How Dentists Can Build Wealth With Intention [not-audio_url] [/not-audio_url]

Duration: 55:20
On today's episode, Dr. Mark Costes sits down with Matt Mulcock, CFP and Managing Partner at Dentist Advisors, for a practical conversation on financial planning throughout the full arc of a dentist's career. Matt breaks…
2565: The Real Talk Behind Surgical and Prosthetic Complications [not-audio_url] [/not-audio_url]

Duration: 55:35
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2564: Building Better Dentists Through Better Education [not-audio_url] [/not-audio_url]

Duration: 24:57
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2563: The Blackbelt Standard [not-audio_url] [/not-audio_url]

Duration: 46:52
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2561: The Real Tradeoffs Behind De Novo Growth [not-audio_url] [/not-audio_url]

Duration: 39:41
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2560: Courageous Conversations That Build Better Practices [not-audio_url] [/not-audio_url]

Duration: 28:14
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