Texas

Selling or Transitioning a Dental Practice in Texas

From Dallas–Fort Worth to Houston, Austin, and San Antonio, Practice Transitions Institute helps Texas dentists value, sell, and transition their practices on their own terms.

Texas is one of the fastest-growing dental markets in the country. Population growth across its major metros keeps new-patient demand strong, and that growth draws private buyers, associates, and well-funded DSO groups looking to acquire. For a practice owner, a strong market is an opportunity — but only with the right preparation and representation.

We advise Texas dentists through every stage of a transition, from an honest valuation to a confidential sale, an associate buy-in, or a careful review of a DSO offer, working alongside your Texas attorney and CPA on the specifics.

What Makes a Texas Transition Different

The local factors that shape value, timing, and deal structure

Fast-growing metros

DFW, Houston, Austin, and San Antonio keep adding residents, which supports patient demand and buyer interest. Well-positioned practices in growth corridors can command strong multiples.

No state income tax

Texas has no personal state income tax, which affects how sellers model their after-tax proceeds and how buyers weigh the economics of a purchase. Deal structure and timing still matter — plan them with your CPA.

Active DSO & investor demand

Texas is a focus market for dental groups and private-equity-backed platforms. That competition can lift offers — but headline numbers often hide earnouts, holdbacks, and work-back terms worth scrutinizing.

Texas State Board of Dental Examiners

Licensing, practice ownership, and the change-of-ownership steps a transfer requires follow Texas-specific rules that need to be handled correctly as part of the transaction.

This overview is general information, not legal or tax advice. We work alongside your attorney and CPA on the specifics of your transaction.

How We Help Texas Dentists

Know what it's worth

Start with an Opinion of Value grounded in your practice's real cash flow and your local market — or get a quick estimate with our practice value calculator.

Sell to the right buyer

We guide your practice sale end to end, and if a DSO comes calling, we help you weigh the offer against a private sale.

Structure a buy-in

Bringing an associate toward ownership? We structure associateships and buy-ins and partnerships that work for everyone.

Plan around your goals

Retirement timeline, tax planning, team continuity, and legacy — we help you sequence the decisions so the transition happens on your terms.

Texas Communities We Serve

Dallas–Fort Worth Metroplex
Houston & the Gulf Coast
Austin & Central Texas
San Antonio
El Paso & West Texas
The Rio Grande Valley

Thinking About a Transition in Texas?

Start with a confidential conversation about your practice and your timeline — no obligation to sell.

Book Your Free Consultation

What Dentists Say

I have known Dr. Michael Nio since 2016, and over the years he has played an important role in some of the biggest professional decisions of my career. When Michael sold our practice in 2020, he delivered exactly what he said he would. His valuation proved accurate, the process was smooth, and his guidance gave us confidence every step of the way. In an environment where uncertainty can be overwhelming, Michael brought clarity, honesty, and calm leadership. I've also watched him step in for colleagues during some of the most stressful moments of their careers - navigating difficult partnership disputes, unexpected health crises, and other situations that required not just expertise, but compassion. He never shrinks from the hard conversations, and he always leads with integrity. Michael has also helped me personally during a very contentious partnership situation. His advice steadied me when I could have easily made decisions I would have regretted. His perspective was invaluable, and his loyalty was unwavering. What makes Michael unique is that he doesn't just act as a broker - he becomes a trusted advisor. He engages deeply with each client's goals, fears, and priorities. He takes the time to truly understand the full picture before offering guidance. Beyond his professional skill, Michael is someone I consider a friend and like family. He has a steady, calm presence that reassures you in difficult moments, and a genuine passion for helping dentists succeed - not just in transactions, but in building meaningful careers. I recommend him without hesitation to any dentist facing a transition, partnership decision, or major career move. Few people combine experience, integrity, and genuine care for their clients the way Michael does.

Dr. Lee Boese

Practice Seller

After 35 years of owning my private dental practice, deciding to sell was both a deeply personal and professional milestone. I was fortunate to work with Michael Njo at Practice Transitions Institute, whose expertise, integrity and calm guidance made all the difference in this life changing process. Michael approached the transition with genuine care. As a fellow dentist himself he understood the emotional weight of passing on a practice built over decades - not just the business side, but the relationships with my patients, staff, as well as the legacy I wanted to preserve. His firsthand experience gave me confidence and I knew I was in good hands. Michael navigated every stage of the transition with professionalism and respect for my goals. He found the perfect buyer who shares my commitment to high quality dental care and will carry on the legacy I worked so hard to build. I know my patients and staff will be left in good hands. If you are considering selling your practice and want a team that truly understands the emotional and practical complexities of the process, I highly recommend Michael and the Practice Transitions Institute.

Brian Valle

Practice Seller

I attended Mike's practice transition seminar and read his book. He was a very knowledgeable and seasoned expert in this area. I decided to use his consultation service to handle my practice sale. He was able to match a buyer within 2 weeks and completed the transaction within 45 days. He was so amazingly efficient throughout the transition process. I highly recommend him to any dentist interested in selling or buying a dental practice. Thanks again, Mike, you are my Superman.

Tony Choi

Practice Seller