EPISODE DESCRIPTION
Dr. Rae Orraca-Tetten shares her journey from considering an acquisition to ultimately launching a successful dental startup that grew from 3 to 10 operatories. She explains why a startup was more cost‑effective for her personality, clinical style, and long-term goals—despite early recommendations to purchase the practice she worked in. Dr. Orraca-Tetten breaks down how she phased her buildout, accelerated production from day one, and strategically expanded into a neighboring suite as patient demand exploded.
Her experience provides a candid and highly practical look at startup budgeting, confidence, production expectations, and the mindset required to scale quickly.
Topics include:
● Why purchasing an older practice didn’t fit her vision or financial goals
● How she launched with 3 operatories and expanded to 10 within six years
● Cost differences she observed between startups and acquisitions
● Building a team, managing overhead, and optimizing operatory utilization
● Expanding into adjacent space and planning for future associate opportunities
● How personal drive and clinical confidence shape the startup path
● Advice for dentists choosing between buying and building




