ITP #5 - Building Smart: What Every Dentist Needs to Know Before Signing a Lease with Rick Shandy

Inside The Practice

In this episode of Inside The Practice, host Sarah Boylan sits down with Rick Shandy of BnK Construction, a dental office build-out specialist, to discuss the key steps dentists should take before signing a lease or starting a construction project.

With over 425 dental spaces built, Rick shares his expertise on avoiding costly mistakes, planning efficiently, and making informed financial decisions.

Involve a Dental Contractor Early

Before signing a lease, have a specialized contractor review the space. Hidden costs like outdated HVAC, inadequate water supply, and electrical capacity can lead to unexpected expenses.

Understand Hard vs. Soft Costs

Construction costs go beyond flooring and walls. Permit fees, system development charges, and tenant improvements can add tens of thousands of dollars—budget accordingly.

Why Permittable Plans Matter

A dental equipment supplier’s layout is not a full construction plan. Work with professionals who ensure ADA compliance, municipal codes, and functional space design.

Maximizing Tenant Improvement Dollars

Negotiate for higher TI allowances with landlords, as dentists are highly desirable tenants. Ensure that funds are allocated efficiently to avoid unnecessary expenses.

Common Pitfalls to Avoid

• Signing a lease without assessing true renovation costs
• Using a general contractor without dental expertise
• Overbuilding unnecessary features like extra sinks or cabinetry
• Underestimating the timeline and permitting process

Building a dental practice is a major investment, and making the right decisions from the start saves money, time, and stress.

Surround yourself with the right experts, plan strategically, and don’t rush into a lease without understanding the full financial and construction scope.

This Show is sponsored by ePractice Manager

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