Dental Practice Consulting that Elevates Growth, Profitability, & Patient Care
With over 40 years of combined experience in practice ownership and dental consulting, Pinnacle Practice Strategies helps dentists grow stronger businesses through expert, real-world guidance.
Whether you are acquiring your first practice, refining operations after a sale, or scaling to multiple locations, our goal is the same: to help you lead with clarity, confidence, and purpose.
We specialize in building systems that improve profitability, boost efficiency, and support a consistent, high-quality patient experience. Every strategy is aligned with your values and long-term vision.
Who We Help
Buying a Dental Practice
We support you throughout the entire acquisition process. This includes evaluating practice opportunities, understanding valuation metrics, navigating financing, and reviewing contracts.
We also help you create a post-close transition plan that protects patient loyalty, supports your team, and ensures operational continuity.
New Dental Practice Owners
Taking ownership is a major shift.
We help you establish your leadership identity, define your core values, and build a strong team culture.
Our consulting focuses on efficient systems, clear roles, and workflow alignment so your practice runs smoothly and grows with intention.
Established Dental Practice Owners
If you are ready to improve performance or expand, we provide a comprehensive review of your operations.
We identify bottlenecks, assess profitability, and guide changes to scheduling, staffing, services, and financial systems. The goal is to help you grow strategically while maintaining balance and direction as a leader.
What We Do
Clinical Advising
We help dental owners raise their standard of care while improving day-to-day efficiency. By aligning clinical systems with growth goals and patient outcomes, we create a foundation for consistent, high-quality dentistry.
Our focus is on reducing variability, improving predictability, and ensuring care is delivered with excellence at every visit.
We begin with a clinical and operations audit to identify inefficiencies, gaps, and breakdowns in patient flow. From there, we help implement clear clinical protocols, documentation standards, and team training that support consistency across the practice.
Financial Strategy
We help you gain control of your numbers and increase long-term profitability. This includes reviewing PPO fee schedules, renegotiating underperforming plans, and updating your standard fee schedule for compliance and competitiveness.
We assess billing and collections systems, improve cash flow, and reduce accounts receivable. Our vendor audits identify cost-saving opportunities without sacrificing quality.
We also assist with capital investments, using ROI-based modeling, and help you design team compensation and bonus structures that drive performance.
Marketing and Communication
Your practice message influences growth and retention. We help you clarify and unify communication across phone calls, emails, and treatment presentations.
Our custom marketing plans reflect your goals and target market. We assess your new patient experience to improve conversion and retention, guide brand refresh efforts, and provide reputation management support.
If you want to increase referrals, we create simple, compliant internal referral programs. We also coach your front office team to improve their ability to convert inquiries into scheduled appointments.
Coaching and Mentorship
We help owners and emerging leaders strengthen their leadership through personalized coaching. Our support includes improving team communication, planning effective meetings, and building a healthy culture.
As your practice grows, we help you shift from managing day-to-day tasks to focusing on strategic leadership.
We also provide training for front office staff, assist with schedule optimization, and develop SOPs to improve consistency and reduce daily stress.
Human Resources Support
Strong HR systems are key to retention and performance. We help you develop HR manuals, define staff roles and responsibilities, and create structured hiring and onboarding systems.
For associate dentists, we guide onboarding to support alignment and long-term integration. We also build performance review processes that promote development and accountability.
When needed, we create office-wide SOPs that promote clarity, consistency, and efficiency.
How We Work
Why Choose Pinnacle Practice Strategies
Practice owners trust Pinnacle Practice Strategies because we deliver practical solutions that produce measurable results.
Our work is grounded in real-world practice operations, not theory. We focus on the areas that have the greatest impact on long-term success: operational stability, financial performance, leadership development, and the delivery of consistent, high-quality patient care.
We do not offer generic recommendations or one-size-fits-all programs.
Every engagement begins with an understanding of your goals, constraints, and the unique dynamics of your practice. From there, we design tailored strategies that address your specific challenges and opportunities, ensuring improvements are both achievable and sustainable.
Whether you are building your first practice, scaling to support growth, or preparing for a future transition, we provide clear guidance and hands-on support.
Our goal is to help you make confident decisions, strengthen your systems, and build a practice that operates with purpose, clarity, and long-term value.
Meet Your Advisors
Together, John and Keith have helped dozens of practice owners navigate acquisitions, improve systems, and grow intentionally with the right structure and support.
John Dubos, DDS
John has more than 20 years of experience as a dental practice owner and now supports other dentists in achieving growth through strategic operations and leadership development.
He has helped numerous clients improve profitability and team alignment through hands-on consulting.
Keith Nicholson, DDS, MBA
Keith brings expertise in managing multi-location dental groups. He focuses on system implementation, training, and practice scaling. His approach emphasizes communication, efficiency, and sustainable operations.
Keith’s insights are informed by real practice challenges and proven results.
I recently purchased an orthodontic practice with the help of PMA. Their team’s expertise and guidance were invaluable in navigating the complex process.
What stood out most was their support during due diligence and the closing process. Their experience helped me identify the right questions to ask and ensured that I fully understood the financials, operations, and growth potential of the practice I ultimately purchased. I know Dr.Keith Nicholson from my orthodontic residency. He shared insights during the acquisition process that meaningfully improved the purchase agreement terms. Their knowledge of the dental industry and attention to detail gave me confidence in my decision. The entire process was seamless, and their team’s responsiveness made it easy to get answers and move forward.
I highly recommend PMA to a colleague looking to buy a practice – they truly made the process stress-free and their professionalism, industry expertise, and commitment to their clients make them an exceptional partner throughout the entire process.
– Dr. Bhumika Patel, Orthodontist
Schedule Your Discovery Call
Ready to Take the Next Steps?
Book a free 30-minute discovery call to review your goals and discover where expert guidance can make the biggest impact.
There is no cost or obligation for the initial call. Just a great way for you to connect with one of our advisors and explore what’s possible with your practice(s).
