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Dental Practice Quiz

Are you currently a dental practice owner?

Yes
No but purchasing or starting a new Practice
No I am an Associate

Associate Information

How did you hear about us?

Associate Information

How are you currently compensated?

w-2 Only
1099 Only
Mix of w-2 & 1099

Associate Information

Are you interested in ownership?

Yes
No

Practice Acquisition Information

How did you hear about us?

Practice Acquisition Information

Are you looking to do a startup or an acquisition?

Startup
Acquisition

Startup Timeline

How long until you plan to open?

0-3 Months
4-9 Months
9+ Months

Acquisition Process

Where are you in the process?

Just starting to look
I have targets in mind

Acquisition Evaluation

Do you need help in evaluating the practices?

Yes
No

Practice Owner Information

How did you hear about us?

Practice Owner Information

What is the name of your Practice?

Practice Owner Information

How many Locations?

1
2 or 3
3 plus

Practice Owner Information

What is the annual collections of your practice(s)?

Less than $600K
$600K to $1.2M
$1.2M to $2.4M
$2.4M to $5M
$5M+

Practice Owner Information

Do you know what your Overhead is running at monthly?

Yes
No

Practice Owner Information

What is your current monthly overhead?

Practice Owner Information

Do you have a target Overhead in mind?

Practice Owner Information

How many operatories are you running?

Practice Owner Information

Do you lease or own the Real Estate of practice?

Own all
Some
None

Contact Information

Please provide your contact details to complete the assessment.

Thank You!

Thank you for completing our assessment. We will be in touch shortly.

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