The Urge to Merge – Should You Combine Dental Practices?

Mid-America’s most trusted dental practice valuation and sales

Have you ever considered merging a smaller dental practice into your own?

As many baby boomer dentists move toward retirement, we’re seeing a rise in small, underperforming practices—often collecting less than $500,000 annually. Many of these practices belong to doctors who slowed down in recent years, working fewer days while maintaining long-term patient relationships. These offices represent a unique growth opportunity for established practice owners.

Why Merging Makes Sense

Merging one of these smaller practices into your own can significantly boost your bottom line—without the heavy overhead. That’s because when you acquire a practice and fold it into yours:

  • The seller’s fixed costs (like rent, utilities, and equipment leases) don’t follow the patients.
  • Your existing space, systems, and infrastructure can often absorb the additional volume.
  • You’ll only incur marginal increases in variable expenses—such as supplies, lab fees, and possibly staffing.

The result? A surge in revenue with minimal additional cost—a winning combination for a growth-minded dentist.

More Than Patients—A Pipeline of Opportunity

Unlike external marketing campaigns (which are often expensive and slow to generate results), a merger delivers an instant influx of new patients. Better yet, the seller may have been referring out cases or offering only basic maintenance care. If you can provide a broader range of services—such as endodontics, implants, or cosmetic procedures—you’ll likely uncover significant untapped potential.

Don’t Overlook the Value of Staff

One often overlooked benefit of mergers is the team that comes with the practice. Many sellers have dedicated, well-trained staff—especially hygienists and front-office personnel—who are familiar with the patients and workflows.

If you can retain them, they’ll help ease the transition and dramatically improve patient retention. A familiar voice on the phone or a trusted hygienist at the chair can make all the difference when patients decide whether to make the move to your office.

A Missed Opportunity for Many

Unfortunately, many dentists overlook or underestimate the value of small-practice mergers. They may assume it’s not worth the hassle—or worry about integration challenges. In reality, when structured correctly, a merger can be one of the most cost-effective growth strategies available.

So don’t miss out.

Is There a Merger Opportunity Near You?

If you’re looking to grow your practice, start by looking close to home. Are there older dentists nearby thinking about retirement? Small practices in strip malls or shared office spaces with shrinking hours?

We’d be happy to help you evaluate your options and determine if a merger is right for your situation.

Want help finding or evaluating a potential merger opportunity? Contact us today to discuss your goals and explore what’s possible for your practice in the greater St. Louis area.

– Bill Otten & Kim Rey

Confident female dentist in white coat and blue gloves representing dental professionals supported by Otten-Rey Dental Sales.
What Clients Say

Dentist Testimonials

Kim with Otten-Rey Dental Sales truly made what I thought would be a stressful process extremely easy and painless. From our first meeting all the way until closing, Kim was always reliably there for me through out the process. I trusted her system and it was simple and seamless. I would definitely choose Kim again for my transition if l had to do it all over again.

review from happy client on homepage
Glenn R. Edwards DMD

When I decided to buy a dental practice, I quickly learned that practice brokers represent the seller. As a buyer, that posed some challenges. Of all the brokers I worked with in St. Louis, Kim was the only one who managed to make me feel that she was actively trying to find a practice for me to buy. Not only did she help me find a practice I loved, but she still represented her seller well and was fair throughout the entire process. Because of her, I am now the owner of a great dental practice that I love and I truly believe she made that happen for me. Thanks Kim.

Dr. Daugherty - happy client
Dr. Victoria Daugherty

Thank you both, Kim & Bill. This has been a great adventure. All is going great with the merger of Dr. Berger’s practice. Overall, I would say it is a great success. And I couldn’t have done it without both of you.

review from happy client
Dr. Christy Hager

I felt my practice purchase went smoothly and efficiently with the help of Otten-Rey Dental Sales. As a buyer, I felt comfortable with the fair appraisal that Otten-Rey put on the practice and both Kim and Bill were very accommodating getting any requested info to help me do my due diligence…Otten-Rey is known in the St. Louis Dental community for being easy to work with and I strongly recommend either buyers or sellers use them in the process of your dental transition. Having their expertise, experience and organization really made things a lot less stressful.

review from happy client Dr Jen Wheeler
Dr. Jennifer Wheeler Chesterfield, MO practice

Kim’s understanding of all aspects of a transition was invaluable. She has comprehensive knowledge of both the financial and clinical aspects of a dental office. She also provided the guidance and understanding of the legal aspects necessary to close the transaction. Thanks Kim!

review from happy client Dan Twillman
Dan Twillman DMD

Kim Rey was my broker in representing me when I sold my pediatric dentistry practice. From my standpoint, Kim brought a great amount of stability to the whole process. I appreciate her insight and her levelheaded guidance on what my expectations should be, what the normal accepted practice and standards are when dealing with a buyer. The process was longer than I anticipated, but Kim kept me focused and on the right track until the transaction was completed. Throughout the process, she always made me feel like I could rely on her and that in turn gave me a great deal of comfort. I would highly recommend Kim Rey to anyone looking to buy or sell a dental practice.

review from happy client Andrew Kim DMD, MS
Andrew M. Kim DMD

Several of my friends used Kim and Bill to sell their practices and had highly recommended them. I was pleased with the thorough process of valuation and the explanation of the report. They provided frequent updates and the guide for printing the necessary reports for the valuation. They found a buyer that fit our needs. I would recommend them to the other dental offices needing the same services.

Illustrated tooth graphic used in Otten-Rey Dental Sales branding
Gerald Dragich DMD