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On today’s episode, Gary Bird interviews Dr. Mark Costes to unpack the real-world complexities of scaling from one dental practice to ten. Mark shares hard-earned lessons from building and managing 26 practices, explaining why early success can mislead dentists into rapid expansion and how to avoid the common pitfalls. They explore why strong systems beat superstar staff, how to “red team” your practice to identify weaknesses, and why pressure-testing your operations is critical before adding new locations.
Mark also dives into financial realities—like the limits of traditional bank lending and when to consider private equity—and makes a compelling case for focusing on same-store growth over ego-driven expansion. If you’ve ever wondered when to scale, how fast to move, or how to protect your cash flow while growing, this episode is full of strategic insights.
Be sure to check out the full episode from the Dentalpreneur Podcast!
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