Back to blog
Practice Transitions

What Should a Dental Practice Letter of Intent Actually Include?

Learn what a dental practice letter of intent should cover, which terms deserve careful review, and how a clear LOI can prevent expensive transition mistakes.

Practice Transitions Institute
March 17, 2026
8 min read

In a dental practice sale, the letter of intent is often treated like a simple first step. It is not.

A well-structured LOI can bring clarity, align expectations, and make the rest of the transition smoother. A sloppy one can create confusion, bad leverage, or costly disputes before the purchase agreement is even drafted.

For dentists buying, selling, or planning a partner transition, this is one of the most misunderstood documents in the entire process.

That makes it a strong fit for Practice Transitions Institute. The live site emphasizes step-by-step support, valuation clarity, and transition strategy that protects a doctor's legacy rather than leaving major decisions to chance. An LOI topic sits right in that lane.

What is a dental practice letter of intent?

A letter of intent is usually the first formal document that outlines the main business terms of a proposed deal. It is not the final asset purchase agreement, and it usually does not contain every legal detail. But it sets the direction of the transaction.

In practical terms, the LOI tells both sides: here is the broad structure we are trying to build.

It often covers the proposed price, what is being purchased, major timing expectations, due diligence windows, transition support, and whether either party will pause talks with other options while the deal moves forward.

That is why calling it "just a formality" is dangerous. Even when much of the document is non-binding, the deal psychology becomes very binding very quickly.

Why the LOI matters more than many dentists expect

Once people sign an LOI, they tend to move emotionally into commitment mode. Buyers stop exploring alternatives. Sellers stop entertaining other conversations. Advisors begin working from the assumptions set out in the letter.

Recent legal guidance on dental practice LOIs and deposit agreements also reinforces that some provisions can in fact be binding, especially around confidentiality, exclusivity, and deposits. So even if the purchase itself is not locked in yet, the risk exposure can still be real.

A weak LOI can create problems like:

  • unclear expectations around price or structure
  • unrealistic due diligence deadlines
  • vague transition support promises
  • one-sided exclusivity periods
  • deposit language that becomes painful later
  • disagreement over what assets or goodwill are included

In short, the LOI frames the negotiation. If the frame is crooked, the rest of the transaction usually feels crooked too.

Core terms a dental practice LOI should address

Every deal is unique, but a solid dental practice letter of intent usually needs to spell out the major business terms clearly enough that both sides understand what they are moving toward.

1. Purchase price or pricing structure

This sounds obvious, but vague pricing language causes trouble fast.

The LOI should clarify whether the deal is based on:

  • a fixed purchase price
  • a price range subject to adjustments
  • an allocation structure still under review
  • conditions tied to collections, accounts receivable, or other variables

PTI's valuation content is relevant here. If the starting number is not grounded in a realistic opinion of value, the LOI can lock both parties into a negotiation built on weak assumptions.

2. What is actually being sold

A dental practice transaction is not just "the practice."

The LOI should clarify what is included, such as:

  • equipment and supplies
  • charts and patient records where legally transferable
  • goodwill
  • phone numbers, website assets, and branding elements
  • lease assignment or real estate issues
  • accounts receivable treatment

If this section is fuzzy, the purchase agreement becomes a cleanup operation instead of a confirmation of shared expectations.

3. Due diligence process and timing

Buyers need adequate time to verify what they are buying. Sellers need a process that does not drag endlessly.

The LOI should outline a realistic due diligence window and what information will be made available. That may include financial statements, production data, lease documents, staff information, equipment details, and patient flow patterns.

When timelines are too aggressive, buyers feel rushed. When they are too loose, sellers feel trapped. A balanced LOI respects both realities.

4. Transition support from the seller

One of the most overlooked terms is what the seller is expected to do after closing.

Will the seller stay for a short transition period? Introduce the buyer to patients and staff? Help with referral continuity? Work part-time for a few months? Or exit quickly?

These details can materially affect retention, goodwill transfer, and the buyer's confidence.

PTI's service pages emphasize a smoother handover and reduced stress. That does not happen by magic. It happens when transition expectations are written down early.

5. Exclusivity or no-shop period

Exclusivity is often where the LOI becomes more serious than people expect.

A seller may agree not to solicit or negotiate with other buyers for a defined period. That can be fair when the buyer is moving quickly and in good faith. But if the exclusivity period is too long or poorly drafted, the seller can lose leverage without getting much in return.

Both sides should ask:

  • How long is the exclusivity period?
  • What milestones must occur during that time?
  • What happens if financing stalls or due diligence drags?

This is one of the easiest places for an LOI to become lopsided.

6. Deposit terms

If a deposit is involved, the LOI or related deposit agreement should explain:

  • the amount
  • when it is due
  • where it is held
  • when it is refundable
  • what events make it non-refundable

The outside legal guidance reviewed for this run highlights how deposit terms can create the most tension. That tracks with reality. Buyers want protection if diligence uncovers problems. Sellers want evidence the buyer is serious. Clear conditions matter more than hard posturing.

Common red flags in LOIs

A letter of intent deserves a closer look when it includes:

  • broad statements that sound clear but are not operationally specific
  • deposit language without clear refund conditions
  • exclusivity periods with no meaningful buyer milestones
  • missing detail on lease, charts, or receivables
  • assumed seller transition support with no duration defined
  • unrealistic closing deadlines disconnected from financing and diligence

These are not small drafting issues. They are usually previews of where the deal could wobble later.

What buyers should pay extra attention to

Buyers often focus heavily on price and overlook structure.

But some of the most important buyer questions are:

  • What exactly am I buying?
  • How much access will I have during diligence?
  • What happens if the numbers do not hold up?
  • Will the seller actually help transfer goodwill after closing?
  • Is my deposit protected if legitimate problems appear?

A buyer who "wins" on price but loses on structure may not have won much at all.

What sellers should pay extra attention to

Sellers often worry about confidentiality, deal certainty, and whether a buyer is truly capable of closing.

That means seller-side LOI review should focus on:

  • whether the buyer has credible financing
  • whether the diligence timeline is reasonable
  • whether exclusivity is earning its keep
  • whether the transition period is realistic
  • whether the purchase terms protect the legacy and continuity of the practice

A seller should not use the LOI to bulldoze the buyer, but should absolutely use it to avoid being boxed into a weak process.

Why this topic fits PTI right now

Recent PTI drafts covered valuation timing, staff communication during a sale, and the documents needed before selling. This LOI topic moves the content sequence forward naturally. It meets the reader at the next practical decision point, after valuation and preparation but before final legal documents.

It also fits the live site's positioning. PTI is selling clarity, expertise, reduced stress, and stronger outcomes. A detailed LOI article reinforces all four.

When to get guidance

If you are about to sign a letter of intent, that is not the moment to wing it.

Whether you are buying your first practice, preparing to sell, or navigating a partner transition, the smartest move is to review the business terms before they harden into expectations that are difficult to unwind.

Practice Transitions Institute helps dentists move through valuation, strategy, negotiation, and transition planning with a process built around clarity and confidence. If you are preparing for a practice sale or acquisition, schedule a consultation and get guidance before your LOI turns into the wrong roadmap.

FAQ

Is a dental practice letter of intent legally binding?

Usually not in full, but some provisions can be binding, especially confidentiality, exclusivity, and deposit terms.

Should price be final in the LOI?

Not always. Some deals use a fixed number and others use a structure that depends on diligence, allocation, or related terms.

Do I need a deposit at the LOI stage?

Not in every case, but if there is one, the refund conditions and milestones should be clearly defined.

Why not skip straight to the purchase agreement?

Because the LOI helps surface major deal terms early. Done well, it saves time and prevents misunderstandings before legal drafting becomes more expensive.

At-a-glance

  • Practice Transitions Institute

    Author

  • March 17, 2026

    Published

  • 8 min read

    Read time

Continue learning

Bring PTI to your journey

Join our upcoming workshops, explore transition services, or share this article with a colleague planning their next move.

About the Author

Practice Transitions Institute

Practice Transitions Institute

A team of transition advisors helping dentists navigate valuations, sales, partnerships, and associateships.

Practice Transitions InstituteEmail the PTI team