When it’s time to sell your practice, choose the DENTAL
Rod Johnston, MBA, CMA
Owner & Founder
License #24938 rod@omni-pg.com omni-pg.com
206-979-2660
Jen Bennett
Practice Transition Specialist jen@omni-pg com omni-pg com
206-683-8966
Frank Sciabica, DDS
Practice Transition Specialist License #130887 frank@omni-pg.com omni-pg.com
425-985-8390
Steve Kikikis
Real Estate Broker
License #94563
steve@omni-pg com omni-hcre com
425-905-6920
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We bring all of our tools and expertise to bear to achieve your desired transition: and, through tax and other planning, leaving more of your hard earned value in your pocket.
Dr. Julie Kellogg, Chair
Dr. John Evans
Dr. Stephen Lee
Dr. Jeffrey Parrish
WSDA NEWS PUBLISHER Bracken Killpack BOARD OF DIRECTORS
Dr. John L. Gibbons, President
Dr. Nathan G. Russell, President-Elect
Dr. Blake McKinley, Secretary-Treasurer
Dr. Ashley Ulmer, Immediate Past President
Dr. Lisa Buttaro
Dr. Brittany Dean
Dr. Joseph Y. de Jesus
Dr. Chris E. Dorow
Dr. Lisa Egbert
Dr. Emily Hobart
Dr. Christine L. Kirchner
Dr. Mark Koday
Dr. Melanie Lang
Dr. Kim D. Nordberg
Dr. Daniel Tremblay
Dr. Daniel Wilson
WSDA STAFF
Executive Director
Bracken Killpack
Assistant Executive Director
Kainoa Trotter
Director of Government Affairs
Emily Lovell
Director of Communications and Marketing
Emma Brown
Operations & Data Manager
Rachal Gunderson
Policy Project Coordinator
Megan Bartol
Governance & Membership Coordinator
Reneschia Brown
Membership Engagement Coordinator
Natalia Hilal
Government Affairs Coordinator
Lauren Johnson
Communications Coordinator
Martina Torres
MISSION STATEMENT
WSDA empowers its members to advocate for and provide optimal oral health care.
VISION STATEMENT
All Washington dentists are fully supported to provide optimal oral health care.
Copyright © 2023 by the Washington State Dental Association, all rights reserved. No part of this publication may be reproduced without permission of the publisher. Statements of fact or opinion are the responsibility of the authors alone and do not express the opinions of the WSDA, unless the Association has adopted such statements or opinions.
Advertising is published as a service to readers; the editor reserves the right to accept, reject, discontinue or edit any advertising offered for publication. Publication of advertising materials is not an endorsement, qualification, approval or guarantee of either the advertiser or product.
Bracken Killpack Executive Director, WSDA
n the 1830s, French aristocrat Alexis de Tocqueville toured the United States and, based upon that experience, penned one of the seminal works in political science, “Democracy in America.” The two-volume tome covered many topics, including the role that associations played in civil society in America. In that time, individuals joined associations out of financial or societal necessity — associations were literally life and death for communities because they were the insurance policy, safety net, fire department, and providers of other sustaining services.
As time has progressed and alternatives have arisen, associations in America are not as necessary and relevant as they used to be. Mutual aid societies and safety net resources powered by volunteers have been replaced by commercial products and government professionals. Furthermore, items that members most value from modern associations, such as advocacy on their behalf, are benefits that cannot be limited only to those who voluntarily pay membership dues.
Organized dentistry is facing existential crises. The current dues model has been in slow decline for several decades. When I first started working at WSDA in the mid-2000s, we had a market share of around 80%; in 2022 our market share dropped below 62%. Unfortunately, our membership declines are accelerating. The market shares of both Seattle-King County Dental Society (WSDA’s largest component society) and the American Dental Association are 57%. Across the nation, there are now several states with market shares below 50%. WSDA and ADA will be there quickly if we maintain the status quo.
In past years, conversations on this topic would inevitably lead to challenges to call non-members, to send them a perfectly worded email, or offer promotional discounts to compel them to join. There’s no doubt that these efforts have helped on the margins in the short run. However, tweaking the current model or simply “working harder” have not and will not address the systemic problem that we face.
The current dues model is a relic of a different era. Our value proposition is effectively broken. Many view the cost of membership to be too expensive and increasingly cost prohibitive for the perceived value. We do not provide enough “must have” benefits and instead provide too many “nice to have” benefits. Being “nice to have” inevitably means that dues cost too much for many, especially when trying to make ends meet or when multiple alternatives, including inferior ones, are available.
At the 2023 House of Delegates, our board and staff will lead a conversation about increasing sources of non-dues revenue in order to significantly reduce or possibly entirely offset revenues collected from state and component dues. This will include a proposal to utilize the proceeds that WSDA Retro receives from the Department of Labor & Industries to decrease member dues instead of the administratively expensive process of issuing refund checks. We will also propose a new business venture that will provide exceptional value to dental practice owners. Taken together, these efforts provide a pathway to significantly reduce the dues cost for membership.
Conversations about sources of non-dues revenue prompt some to think about product and service endorsements. We will not be able to fundamentally change our business model by only being a part of the marketing budget of companies that provide value to dentists. Instead, we will have to own and build these services ourselves and use the profits from these endeavors to fully fund the mission and priorities of organized dentistry. Not only can we achieve this objective, but we will be able to make investments at levels that exceed what is practical within the current membership model.
Organized dentistry is facing its moonshot moment. We need to be bold and make big changes to remain viable in any semblance of what the organization has been in the past. We must break away from the current, failing model and build the 21st century equivalent of associations that our members cannot thrive without.
We hope you will join us in making this vision a reality. n W
“Organized dentistry is facing its moonshot moment. We need to be bold and make big changes to remain viable in any semblance of what the organization has been in the past.”The views expressed in all WSDA publications are those of the individual authors and do not necessarily reflect the official positions or policies of the WSDA.
ou hear it all the time – this is your American Dental Association. But what does that mean, exactly? When meetings are held 2,000 miles away in Chicago and minutes are full of mysterious acronyms. When leaders talk about delegates and trustees and the structure feels overwhelming at best and alienating at worst. And when ADA policies attempt to serve everyone from retired private practice owners who occasionally text to new graduates with TikTok brand endorsements and DSO contracts. Where exactly do you fit into that picture?
I’ll share a story from the most recent national New Dentist Committee (NDC) meeting. During our all-day meeting, we spent about two hours sharing district reports. These reports are a chance to share what members are hearing from their peers in response to two questions: what are new dentists saying about the ADA, and what does the ADA need to do differently to better meet the needs of new dentists?
As we went around the table and each member shared their reports, we heard stories from you, our members and colleagues. We heard about student debt, member benefits, wellness resources, advocacy, mentorship, insurance reimbursement, and more. We nodded our heads in empathy and understanding, many of us having similar stories. These stories turned into action the next day when we met with the ADA’s main decision-makers – the Board of Trustees – and shared themes of the stories. They committed to taking action on our recommendations and concerns. Your stories made their way through the ADA and ended up on the agenda of its leaders.
Let’s back up a little. What exactly is the NDC? It is a group of 17 dentists, one from each of the ADA’s geographic districts (yes, like “The Hunger Games”). All these dentists are new dentists, which means that we have been practicing for ten years or less. I represent District 11, which is Washington, Alaska, Idaho, Montana, and Oregon. Currently, six NDC members are women, two work in public health, one works in a DSO, and many are in solo or group private practices. The NDC advises the ADA Board of Trustees on matters
pertaining to new dentists (read: pretty much everything) and develops resources to support new dentists. We meet twice each year in-person, and three more times on Zoom.
I am one of the two dentists who work in public health. I graduated from Oregon Health & Science University in 2017 and completed a GPR at the VA hospital in Washington, DC. After that, I came home to Oregon where I have worked for five years at La Clinica, a federally qualified health center (FQHC) in Medford. I love the fact that I get to collaborate with other dentists while providing high-quality care to patients who have a hard time accessing or affording dental care. I’m also kind of a dental nerd, having been involved with ASDA and the ADA since dental school.
So, where do you as a new dentist come in? I recommend starting with two steps. Go to a local dental meeting. And reach out to me. While some decisions are made by national leaders, you can also have a huge impact when you act locally. Find your local dental society at www.wsda.org/about/local-dentalsocieties and go to the next meeting. Talk to one new person and identify one action step you can take together to help your colleagues and your patients.
Then, reach out to me. I am always available via email – aschoblaske@gmail.com – and recently started a new Instagram account –@alaynathedentist – to share my experience on the NDC and connect with colleagues. Let me know your answers to the two questions I posed earlier. What are you saying about the ADA? And what does the ADA need to do differently to better meet the needs of new dentists like you?
I look forward to hearing from you so the ADA really can feel like yours n
Dr. Alayna Schoblaske New Dentist Committee Member, ADA“Where do you as a new dentist come in? I recommend starting with two steps. Go to a local dental meeting. And reach out to me.”
Dr. Nordberg has had a patient, who we will call Mary, in his practice for almost 30 years. At 63, this well-educated, insured patient has begun medications which produce profound symptoms of dry mouth. In spite of rigorous hygiene, Mary has developed two surface root caries around a solid crown. Mary wants to repair the damage and save the crown, which would require skilled, conservative treatment. But Mary’s insurance company won’t pay for the multiple root surfaces without having an occlusal surface included.
Dr. Blake McKinley Secretary-Treasurer, WSDAWhat should an ethical dentist do? Should they insist on a new crown? Should they perform the procedure, accepting inadequate compensation from the insurance company? This is just one of many examples that we all face in our practices each year.
Years ago, dentists and patients made decisions about care together. These decisions were based upon clinical best practice and patient preference. Today, insurance companies have inserted themselves into the doctor-patient relationship through reimbursement policies that can run counter to clinical best practice. By and large, dental benefit plans have not substantially increased in the monetary benefit they provide their enrollees since their inception. Consequently, today’s dental benefit plans are essentially a paid coupon service. Disallowed procedures, secondary coverage refusal, and discounted fees help the bottom line of insurance companies, but they interfere with optimal care and it’s our patients who ultimately suffer. Dentists have pushed back; but so far, with a few limited exceptions, insurance companies do not routinely listen, let alone modify their policies.
What if we try a different approach? What if dentists worked together to directly educate and influence the CFOs, CEOs, HR directors, and union leaders who actually purchase or provide input on the dental plans that are purchased? Most of us have patients who serve in these key positions. In our conversations with these patients, they repeatedly express frustration about having to choose policies when they “don’t have a clue” about how these policies negatively influence care. They have expressed appreciation for the advice and expertise we have offered as they consider correcting these policies in their own plans.
Is it possible that by developing the right tools, we could help insurance purchasers understand how dental insurance benefits plans actually work? This is a niche we can fill. As we all know, dental insurance plans have not changed much in several decades. While monthly premiums have increased significantly, annual maximums have remained flat and red tape has grown exponentially. Together we can educate purchasers about how some policies in their current plans interfere with optimal care. Dentists should play a role in educating both purchasers and the public that better options can be created and purchased with policies that are truly fair to their employees and their dentist providers.
We think that the role of “benefits educators” is one that WSDA, ADA, and other dental organizations should help us refine. Some work has already been done in developing best practices, but it can be enhanced and made more accessible and understandable to the layperson. Many of us have established long-term relationships with those choosing dental insurance policies for organizations. We have already built trust based on quality, conservative care, wise experience, accurate diagnosis and excellent dental treatment. Imagine the influence that we could have on purchasers selecting and designing plans if we all combined our relationships with wellcrafted best practices branded by ADA and WSDA.
To accomplish this task, we are looking for dentists who might help us in two ways:
• If you would like to help generate this kind of resource for those who purchase dental insurance, we could use you!
• If you have established relationships with key dental plan decision-makers and would feel comfortable sharing a high-quality resource with those patients, we’d love to hear from you!
This could be an important step in getting third-party dental benefits companies out of the doctor-patient relationship. n W
If this idea intrigues you, please contact us for more information.
Dr. Kim Nordberg kimnordberg6@gmail.com Dr. Blake McKinley blake@spokaneendo.com
“Years ago, dentists and patients made decisions about care together. These decisions were based upon clinical best practice and patient preference. Today, insurance companies have inserted themselves into the doctor-patient relationship through reimbursement policies that can run counter to clinical best practice.”
1. Establish a banking plan. Find out what you qualify for now and what you may choose to do to prepare your portfolio.
2. How much debt is too much debt to buy a practice?
3. Due Diligence. What information do you need and what to look for.
4. How to review the financial analysis of an opportunity and learn to prepare ownership projections and budgeting.
5. The advertising plans. Can you grow a practice quickly? How much will an advertising program cost?
6. The letter of Intent. Understand the process of successfully submitting an offer on a practice.
7. What is the best way to keep the patients and the staff in a transition?
We are a proud, family owned brokerage with over 25 years experience in facilitating successful transitions. Consider working through this with us now to be better prepared when the time comes to own your own practice. There is no fee for this process. Whether you buy a practice through our brokerage firm or not, this will help you prepare and may be a significant help in deciding what you may want to look for in a practice and to be ready when that right one comes along. Call us today to get started!
Our participation in the ADS Transitions Study-Club provides for:
• EXPERIENCE Twice yearly in-person peer-to-peer meetings with 23 large regional brokers, averaging over 30 years in business each.
• CONNECTION Monthly video meeting of committees that study Marketing, Banking, DSO research, Legal issues and the Specialty markets.
• KNOWLEDGE Meeting with industry leading speakers to study trends in banking, DSOs, legal issues and cutting -edge marketplace factors.
• EXPOSURE Access to exclusive national advertising just for ADS Member Companies – adding to our extensive regional marketing mix.
• June 1, 2023: Dental Licensure Fee Change
• June 27, 2023: DEA Continuing Education Requirement
• July 1, 2023: Employer Withholding for the Long-Term Services and Supports (LTSS) Trust Program
• July 23, 2023: Changes to Dental Hygiene Licensure Effective
Learn more about these regulatory dates and deadlines at www.wsda.org/regulations .
State law requires the cost of each profession, occupation, or business be borne by the members of that profession, occupation, or business through fees; this includes the cost of licensing and regulation. The last fee change for the dental program occurred in 2014, when licensing fees were decreased due to the Dental Quality Assurance Commission having a fund balance that exceeded the recommended reserve level. However, over the past few years the Commission has been operating on an annual shortfall, with the program’s fund balance declining at an average annual rate of 10%. As such, the Department of Health (DOH) recommended a fee increase to bring revenue into alignment with the cost of licensing and regulating the different dental professions as well as to stabilize the dental program fund balance to meet the recommended reserve level.
The fee increase became effective June 1, 2023, bringing fees from $350 to $365, for a total fee of $415 when including the surcharge for the Washington Physician Health Program.
Additionally, the late renewal penalty decreased from $288 to $185 in order to align
with DOH standard policy, which requires late renewal fees be set at 50% of the renewal fee when the renewal fee is greater than $100. More information on this fee change can be found in DOH’s Dental Commission Cost Driver Report at https://bit.ly/451R0iS
In December 2022, Congress passed an omnibus spending bill that included the Medication Access and Training Expansion (MATE) Act. This new law requires that as of June 27, 2023, prescribers of controlled substances, in order to receive or renew their registration with the U.S. Drug Enforcement Administration, must complete eight hours of one-time training. This training can be cumulative and must cover safe controlled substance prescribing.
To help dentists comply, the ADA has created a Frequently Asked Questions document. More information, including eligible trainings, can also be found on the WSDA Blog at https://bit.ly/3OvCSJl
Enacted in 2019, the Long-Term Services and Supports (LTSS) Trust program, also known as the WA Cares Fund, was created to provide a maximum lifetime benefit of up to $36,500 for approved long-term care services and supports to those who are eligible and who have been assessed as needing assistance with at least three activities of daily living. The program is to be funded by a .58 percent premium assessment on employee wages and was originally set to become effective on January 1, 2022.
Due to legislation passed in 2022, the LTSS Trust program withholding was delayed until July 1, 2023. This means that employers must have begun withholding premium assessments on employee wages on July 1, 2023. Please note that employers are not responsible for paying the premium; the premium assessed on employees is taken out
of employee payroll. Benefits for qualified beneficiaries will become available July 1, 2026.
More information can be found on the WSDA Blog as well as at www.wacaresfund. wa.gov.
During the 2023 legislative session, WSDA advocated for several workforce bills including Engrossed Substitute House Bill 1466 and House Bill 1287, which remove barriers to dental hygiene licensure. ESHB 1466 makes it easier for out-of-state dental hygienists, in good standing, to obtain a Washington license by extending the initial limited license for hygienists from 18 months to 5 years. This extension gives hygienists more time to complete our state’s additional educational requirements while being able to provide much needed preventive care. Currently, out-of-state applicants are facing challenges completing these requirements within the 18-month timeframe due to a lack of both program offerings and hygiene educators.
House Bill 1287 further reduces barriers to licensure for out-of-state hygienists by removing the requirement for hygienists seeking initial licensure to have worked 560 hours over the past 24 consecutive months. Both bills became effective July 23, 2023; more information can be found on the WSDA Blog at https://bit.ly/47BniDl .
In response to petitions requesting accessible medication labeling for patients, the Pharmacy Quality Assurance Commission (PQAC) has begun rulemaking on the accessibility of prescription information for visually impaired as well as limited English proficiency individuals. Under the proposed
rules, dental offices offering prescription toothpaste, prescription mouthwash, prescription bleaching products, and other prescriptions for take home patient use will be subject to these requirements.
The proposed rules require dispensing providers, including dentists, to provide access to prescription information for visually impaired or print disabled individuals upon the request of the individual or their authorized representative. This access must be available through one or a combination of the methods outlined in the rules, which includes prescription information in braille, QR code, minimum 12-point font size, among other options. Additionally, the rules propose that every dispensing provider offer competent oral interpretation and written translation services of the complete directions of prescription use to limited English proficiency individuals upon their request, upon the request of their authorized representative, or when it is evident the individual has limited English proficiency. More information can be found on the PQAC website under the Rules in Progress tab, and comments can be submitted to PharmacyRules@doh.wa.gov
DQAC is considering several changes to our state’s dental anesthesia rules. Specifically, DQAC is proposing that when administering anesthetic of any kind, including when only topical anesthesia is administered, vitals must be obtained for patients older than 13 years of age. The proposed rules would also modify on-site inspections and emergency protocols, and make several other modifications to minimal, moderate, and deep sedation requirements. WSDA strongly encourages members to submit comments on the proposed rules to DQAC’s Program Manager, Amber Freeberg, at amber. freeberg@doh.wa.gov
As a result of legislation passed in 2021, all health professions, including dentistry, must complete a minimum of 2 hours of continuing education (CE) on health equity every four years. Individual Boards and Commissions must adopt rules by January 1, 2024, and the DOH is required to provide at least one health equity course option that is free of charge to licensees.
DQAC is in the middle of this rulemaking process and has proposed that both dentists and dental anesthesia assistants complete 2 hours of health equity CE every 3 years, to align with license renewal timelines. For dentists, DQAC has proposed that the 2
hours will count toward the 63-hour renewal requirement. However, for dental anesthesia assistants, DQAC has proposed that the two hours of health equity CE will be in addition to the 12 hours currently required for renewal, raising the total number of required CE hours to 14.
The Board of Denturists is engaged in rulemaking to draft regulations regarding the placement of prefabricated abutments by denturists. This rulemaking is a result of concerns raised by the Washington State Society of Prosthodontists, WSDA, and DQAC.
After 13 years of opposing dental therapy legislation, WSDA was disappointed to see the passage of this year’s dental therapy bill, Engrossed Substitute House Bill 1678, which authorizes dental therapists to work in FQHCs and FQHC look-alikes in Washington state. Accordingly, DQAC has begun rulemaking for the implementation of ESHB 1678, and the DOH estimates this process will span a period of 18 months to allow for several rules workshops. For those interested in following this rulemaking, sign up for the dental therapy listserv at https://bit.ly/44XR3w3 . Comments regarding the proposed rules can be directed to DQAC’s Program Manager, Amber Freeberg, at amber.freeberg@doh.wa.gov.
The 2023 WSDA House of Delegates, the governing body of the Association, will meet Sept. 21-23 at the Hyatt at Olive 8 in Seattle. Comprised of voting delegates from each local dental society, the House of Delegates steers Association policy and priorities for the coming year. See a list of resolutions, candidates for elected office and more at www.wsda.org/HOD
Are you looking for professional mentorship, or are you open to mentoring other dentists and dental students? Get involved with the WSDA Mentor Program!
The program encourages both dentists and dental students to explore opportunities for mentorship. Browse online profiles of WSDA mentor dentists and reach out to connect with any mentor(s) of your choosing! In addition, WSDA is always looking for additional dentists to sign up as mentors. Visit www.wsda.org/mentor to browse mentor profiles or sign up.
WSDA Retro gives WSDA member dentists the free, exclusive opportunity to earn money back on the premiums they already pay to L&I. Available only to WSDA members, Retro participant benefits include:
• Gain best-in-class support at no cost from experts at ERNwest to help resolve workers’ compensation claims.
• Avoid the need to incur the added cost of hiring an attorney or consultant to resolve claims.
• Receive reimbursement for up to 100% of wages for bringing injured employees back to modified duty.
If you own a dental practice, don’t miss out on this smart business choice and exclusive benefit of your WSDA membership — sign up by the next quarterly enrollment deadline of Dec. 1 at www.wsda.org/retro.
The Pacific Northwest Dental Conference returns to Seattle May 9-11, 2024. Join thousands of dental professionals for three days of high-quality and affordable dental CE (earn 20+ credits!), a bustling three-day Exhibit Hall, special events and more.
PNDC 2024 will bring the dental community together at Summit, the newest addition to the Seattle Convention Center. This elegant new building, located just blocks from the original Convention Center, is Seattle’s premier meeting space and will host all CE sessions, exhibits and events in one building.
Learn more and see a speaker preview at www.wsda.org/pndc
WSDA members are invited to submit guest editorial content for consideration in the WSDA News magazine! Editorial submissions must be approximately 650 words long, be received in Word Document format, and must include a print-quality photo of the author. To be considered for publication, please submit your guest editorial by email to editor@ wsda.org
Save the date for Dental Action Day, WSDA’s largest annual advocacy event, scheduled for Thursday, Feb. 1 in Olympia.
WSDA is excited to welcome the following new and returning members to our dental community.
Dr. Ciara Agee
Dr. Elleigh Bates
Dr. Ma Kimberley Bernales
Dr. Ian Berude
Dr. Meeta Bhatt
Dr. Shannon Bland
Dr. Mark Bradle
Dr. Mark Breinholt
Dr. Mark Breinholt
Dr. Nicolette Bulaon
Dr. Eric Buras
Dr. Andrey Busev
Dr. Jessica Carroll
Dr. Yushan Chang
Dr. Hara Chin
Dr. Jonathan Chodroff
Dr. Yon Choi
Dr. Courtney Coleman
Dr. Elizabeth Coulter
Dr. Danielle Davis
Dr. Courtney Deane-Boyle
Dr. Yemesrach Demissie
Dr. Robert Denslow
Dr. Anastasiya Dovzhenko
Dr. Connor Drangsholt
Dr. Massih Etemadi
Dr. Ariana Faron
Dr. Rachel Fletcher
Dr. Monisha Gagneja
Dr. Karen Ghatore
Dr. Marlene Gonzales
Dr. Jacob Groom
Dr. Ryan Guske
Dr. Kate Hall
Dr. Chang Han
Dr. Anna Hanover
Dr. Harkaran Hans
Dr. Christine Yun Wei Hao
Dr. Madeline Harris
Dr. Aislinn Hays
Dr. Chandler Hodge
Dr. Ophelia Huang
Dr. Nathan Huynh
Dr. Mitchell Johnson
Dr. Richa Kamdar
Dr. David Kang
Dr. Peichi Kao
Dr. Mandeep Kaur
Dr. Navreet Kaur
Dr. Gurveen Khatkar
Dr. David Kim
Dr. Kris Kim
Dr. Shiwoo Kim
Dr. David Klingman
Dr. Nam Justin Lam
Dr. Deborah Lee
Dr. Jing Li
Dr. Yu-Ting Lin
Dr. Anna-Jane Lohrberg
Dr. Trent Loiseau
Dr. Shaneese Longboy
Dr. Geraldine Manansala-Martinez
Dr. Benjamin McGiffin
Dr. Yan Mei
Dr. Gregory Montgomery
Dr. Mahboubeh Najariantousi
Dr. Tammy Nguyen
Dr. Glen Nomura
Dr. Min Oh
Dr. Akua Owusu-Dommey
Dr. Hongying Pan
Dr. Sofia Petrov
Dr. Ahmed Phipps-Alnajjar
Dr. Sanira Prasai
Dr. Robin Reinke
Dr. Satyajeet Sadana
Dr. Ramandeep Sandhu
Dr. Ajaipal Sekhon
Dr. Mohamed Serwan
Dr. Yasmeen Shalabi
Dr. Anna Shipilova
Dr. Christine Shoemaker
Dr. Grace Song
Dr. Dipti Soni
Dr. Garrett Stoker
Dr. Rachel Teitelbaum
Dr. Andrea Beatriz Tinoco Iraheta
Dr. Allyson Tio
Dr. Cecilia Tran
Dr. Emina Vallius
Dr. Cam-Tu Vo
Dr. Eric Xu
Dr. Tae Lim Youn
Dr. Yang Yang Yu
Dr. Nada Zankar
From May 1-July 31, 2023
Thank you for choosing to be a WSDA member in 2023. Whether you are a newer member, have been part of our community for decades, or are somewhere in between — our Association is stronger with your involvement.
Together with over 4,400 other dentists across the state, your support helps WSDA remain the strongest and most influential advocate in support of Washington dentists.
The following members are running for WSDA elected positions. Elections will occur at the 2023 WSDA House of Delegates, held Sept. 21-23 at the Hyatt at Olive 8 in Seattle.
Visit www.wsda.org/HOD to learn more about the candidates, see a list of voting delegates from your local dental society, read proposed resolutions and more.
Available Positions
• President-Elect (1 position)
• Board of Directors (4 positions)
• Delegate to the ADA (3 positions)
Dr. Chris Dorow
As I consider all the challenges facing dentistry today, I find myself coming back to how important it is to be part of organized dentistry. Without that unified voice we wouldn’t be able to accomplish what we have. Still there are overwhelming challenges presented by 3rd party payers, workforce challenges, increasing taxation, and regulatory interference. In my 6 years on the board, we tackled many of these challenges and continue to advocate for responsible solutions. Currently the support of our membership has allowed us to be one of the loudest voices in Olympia, but we can only do that with a strong membership. National trends show people are turning away from association membership of almost every type and profession. With that in mind we can’t wait to react to the impact of a diminished voice. We have to be proactive in providing a membership experience for every business type and generation. An organization that is inclusive and opportunistic. That not only provides a powerful political voice, but also provides critical services to support its members from its newest to its most experienced and in every practice type. We also need to incorporate that into our traditional membership experience. In short, I want to be part of something with the WSDA that bucks national trends and grows in membership. Strengthening our political voice and also providing a value to all our members, across the entire spectrum. Let’s do this together. Thank you for your service to dentistry. My name is Chris Dorow and I ask you to consider me for your next Presidentelect of the WSDA.
Dr.
Lisa ButtaroThank you for the honor and privilege of serving you on the WSDA BOD these last two years. I am running for reelection because I believe that I have more to give and more that needs to be done. This is a critical time in our profession. Our member dentists and our patients are suffering. As a small business owner, I understand and feel first-hand the effects of reduced insurance reimbursements and severe workforce shortages. I have been able to serve organized dentistry and our profession over the last 27 years. I have grown and learned immensely through my work at the PCDS, PCDF, WSDA BOD, WSDA HOD and the ADA HOD. Mentoring opportunities with dental students, new dentists, and participants in the WSDA Leadership Institute have been particularly valuable. The amazing group of leaders that I currently collaborate with, learn from and problem solve alongside, keep me energized to serve. We are stronger together. I ask for your vote to allow me to continue the work that I have started. I am confident that I have the experience, passion, and motivation necessary to continue the fight for our patients, member dentists and our profession. We are worth it!
“Luck is what happens when preparation meets opportunity”
Seneca, Roman Philosopher. The first time I was asked to describe my leadership skills, I found myself stumbling through my response because to be honest, I had not given it much thought. Over time I have been able to discover my core purpose and values, as well as my vision and expectations for who I am and who I expect the people I lead to be. Since my arrival in this country, I have been given many wonderful opportunities, but also an equal or greater number of challenges. I consider myself a levelheaded individual, a good listener, and a self-motivated leader with the ability to see the future and guide with a firm but gentle and fair hand. To paraphrase LeBron James: “I’m just a kid from Costa Rica. I’m not even supposed to be here”. But I am. And over the years I have gotten to know and understand organized dentistry and have contributed in every way I have been able to strengthen its structure and mission to the best of my abilities. I feel that I have prepared myself for the opportunity to contribute as director of the WSDA and maybe beyond some day in the future. Now I wait to see if Lady Luck comes knocking on my door.
WSDA is entering an exciting period of innovative ideas with a renewed collaborative spirit not only with Delta but also with other community members. It is also facing challenges that are multifaceted and difficult to solve. I am invigorated about the prospect of working with those who are currently in WSDA leadership, as well as the leadership in Delta Dental of Washington and the University of Washington School of Dentistry to collaboratively solve these challenges, particularly surrounding workforce concerns. Over the last 6-plus years, I have worked hard to cultivate relationships with the WA State Legislature as well, and I believe I would be able to contribute to the discussion of how to make WSDA even better, not only be a stronger advocate for oral health but also return good value to our membership. I am a past participant of the WSDA Leadership Institute and I am a proven leader in Clark County as well as nationally in the American Academy of Pediatric Dentistry. I ask for your support as I seek to contribute to our great State of Washington. I graduated from the Univ. of Washington School of Dentistry in 2003 as Class President and was inducted into the Pierre Fauchard Academy in 2018. I currently reside and practice in Clark County, operating Storybook Dental as the head pediatric dentist.
As a member of organized dentistry for over 20 years, and as immediate past president of the Yakima Valley Dental Society, I have experienced first-hand the unifying power of organized dentistry. As dentists, our traditionally held position as one of the most respected professions has been earned by those dedicated colleagues who have gone before us to secure this trust. This covenant of trust is maintained though organized dentistry. As a former Registered Nurse, U.S. Navy Dentist, and now, private practice Oral & Maxillofacial Surgeon, I have unique insight into the issues facing healthcare in general, and our profession in particular. Dentists within Washington continue to battle with multiple issues threatening independent dental practice: and not just “private practice.” The doctor-patient relationship remains under assault at all levels of healthcare. We chose this profession because we cherish our ability to help patients. We took an oath to uphold this trust, embodied by the doctor-patient relationship: to provide the best care using all tools within our arsenal. This is a fight in which we must prevail. There is strength in numbers, so we must bolster our membership through engagement, finding unity in diversity. Let’s enlist our patients as allies in our fight, bearing testimony to the veracity of our cause as we work together to raise our banner of professional unity throughout Washington. I would be honored to continue this fight alongside you, promoting the best interests of the dental profession.
I look forward to continuing to serve on the Washington State Dental Association Board of Directors. I feel I bring a unique background and understanding to help serve our constituents. I have practiced in Washington state both on the east and west sides as both a private practitioner and business owner with multiple practice locations for fourteen years and am presently in an academic position with the University of Washington Oral and Maxillofacial Surgery residency program for the past nine years. I have worked extensively as dental provider with both private insurance groups and the Washington and Idaho state Medicaid systems as well as working as an Independent Medical Review consultant. In addition, I have served in various positions both at the local level with the Spokane District Dental Society and Seattle King County Dental Society as well as state, regional and national levels with multiple organizations including the Washington State Society of Oral & Maxillofacial Surgeons, Western Society of Oral & Maxillofacial Surgeons, American Association of Oral & Maxillofacial Surgeons, American Dental Association, American Medical Association, American Hospital Association and Accreditation Association for Ambulatory Health Care. I welcome the opportunity to continue to serve my fellow dental colleagues as a member of the Washington State Dental Association board.
My name is Crystal Vo, and I am running for a seat on the Board of Directors. I graduated from USC in 2013, and have since worked in private practice, corporate, and for the past 8 years, in public health. During this time, I have seen the population of the underserved grow and the services available to these patients decrease. As one of the Clinical Directors with the Snohomish County CHC, I have witnessed first-hand the need for access to care in our communities and how important oral health is to quality of life. I want to work to provide better resources for our most vulnerable citizens. I am passionate about the value of dentistry and being able to provide access for all. I am uniquely qualified as an Asian American woman to bring my diverse perspective to the Board. According to ADA HPI data, Asian dentists make up over 30% of the dentists in Washington state. Women represent 36% of the Washington state dentists. This needs to be reflected in our state level leadership. I am also aware of the need to bring my colleagues into membership and show that organized dentistry is for all practice modalities, not just private practices. I also believe organized dentistry needs to have a voice at the table on the subject of dental assisting and dental hygiene education and the development of accessible training programs. I am confident that my leadership experience, strong professional network, willingness to learn, and hard work-ethic will help me do well as a Board member. I would love the opportunity to advocate for you and be the voice for those who don’t have one.
I am Douglas Lynn Coe, and graduate of the University of Oregon Dental School and an active member of the Walla Walla Valley Dental Society where I have served all positions and President 3 times (we are a small component). Working in both private practice and with the Yellowhawk Tribal Dental Clinic and the British Columbia ministry of Health in Prince Rupert This has given me unique insight into each patient’s needs, culture and issues pertaining to both worlds. I am a veteran of the WSDA House of Delegates. I am committed to advancing the dental profession and ensuring that all patients receive high-quality dental care. As an ADA House of Delegates representative, I will work tirelessly to promote the interests of dentists and their patients and to ensure that the dental profession remains strong and vibrant. Thank you for your consideration.
Serving WSDA in so many positions during my career has been the highlight of my life. After graduating from the University of Washington School of Dentistry, I continued my education by completing a General Practice Residency at Irwin Army Hospital in Ft Riley, KS. For the next 15 years my interest was in making myself the best dentist I could become for my patients through dental education courses. During that time, I earned the AGD Fellowship and Mastership awards. About 3 years later, I was approached by a local leader and asked about my interest in serving in a leadership position at the local level. I accepted and a year later went to my first House of Delegates. Following that experience I was hooked. Since that time, I have served WSDA, AGD, ADA, AADB and other state dental associations where invited as a guest to attend their Houses of Delegates. For me the most rewarding part has been to watch less experienced delegates gain the skill and confidence in persuading other delegates in supporting their issues. The most rewarding House was Houston last year in watching Linda Edgar pull one rabbit after another out of a hat to win her election for ADA PE. I also was blown away by the strength our district showed in pushing her over the top, I hope, with your support, that I will be there to watch Linda do what she does best next year as ADA President. Lastly, I want to inform our state that this will be my last election. It has been a great run!
I am honored to currently be a Washington State Delegate to the ADA House of Delegates. During this past session we pulled off a near miracle and beat a perennial powerhouse for the ADA presidency. I think the secret formula had much to do with the myriad abilities of our stellar president-elect candidate, Dr. Linda Edgar, especially her masterful ability to win over any given audience. Our 11th District team also campaigned tirelessly behind the scenes contacting ADA members across the country to explain why they should vote for Linda. The majority did just that. I am asking for an additional term as Delegate because we now have a rare chance to ensure your agenda items receive serious consideration. The ADA is moving forward with a new governance model that should allow interested members to participate in a variety of new ways. This should enable the organization to nimbly move in new directions and implement well-vetted ideas. Experience navigating the ADA House is essential to the success of our delegation in protecting dentists and the patients in our care. The chance to continue to mentor the next generation of leaders as they learn the intricacies of the ADA House of Delegates is a responsibility I relish. Your vote will enable me to both advocate for you and help Linda be the most effective ADA President ever. I am here to effectively represent you and am always open to your input. Thank you for your support. I would appreciate your vote.
Northwest
Conference returns to Seattle May 9-11, 2024. Mark your calendar today, registration opens in December!
PNDC 2024 will bring the dental community together at Summit, the newest addition to the Seattle Convention Center. This elegant new building, located just blocks from the original Convention Center, is Seattle’s premier meeting space and will host all CE sessions, exhibits and events in one building.
This incredible space will offer PNDC attendees new options for dining and more indoor and outdoor spaces to relax and connect throughout the day.
Earn 20+ dental CE credits in three days! Build your own schedule with all lectures available to reserve for no additional cost, or hands-on workshops available for an additional fee.
Choose from lectures on a wide range of clinical dentistry topics, or dive into non-clinical sessions on practice management, lifestyle, health and wellness, communication/leadership and more.
John Alonge | Oral Surgery
Amber Auger | Hygiene
Anthony Cardoza | Lasers
Rebecka Clark | Myofunctional Therapy
Nestor Cohenca | Endodontics
Karen Davis | Hygiene & Cannabis
Mark Donaldson | Pharmacology/ Sedation
Jonathan Esquivel | Restorative/ Esthetics
Kevin Henry | Dental Assisting
Leroy Horton | Implants/Surgery
Mark Hyman | Practice Management
Nathaniel Lawson | Dental Materials
Laura Nelson | Communication
Uche Odiatu | Health
Santiago Valdez & Trina Poulsen | Hygiene
Katrina Sanders | Hygiene
Jamieson Spencer | Sleep Apnea/TMD
Lori Trost | Restorative/Esthetics
Bradley Weinstein | Periodontics
More PNDC 2024 speakers to be announced!
Back for a second year, the PNDC 2024 Exhibit Hall will be open on Thursday, Friday and Saturday.
Shop all things dentistry, try out new products and technology, enter to win daily raffle prizes, catch surprise pop-up experiences, enjoy Happy Hour and more!
WAC 246-817-305 requires patient records to include “notation of the informed consent discussion.” What is informed consent? The rule says it is “a discussion of potential risk(s) and benefit(s) of proposed treatment, recommended tests, and alternatives to treatment, including no treatment or tests.”
Many patient complaints that the Dental Commission reviews are about communication issues. Complaints about billing often stem from the patient’s lack of understanding of the necessary work. The commission often receives complaints that the dentist did more work than authorized, leaving patients surprised. Ensuring that the patient understands their condition, the proposed procedure, alternatives, risks, and benefits can help avoid misunderstandings.
Informed consent means the patient has the knowledge they need to make an intelligent decision about their condition and the treatment the dentist is proposing. The informed-consent discussion should include information about the risks, benefits, expected outcomes, and reasonable alternatives to the procedure and the risks associated with non-treatment.
Informed consent also helps protect the dentist against claims of medical battery. A health care provider may be liable for medical battery if they conduct a procedure without consent from the patient, or if they exceed the limits of the patient’s consent. For example, performing a knee replacement on the wrong knee could result in a claim of medical battery. The provider could face liability even if the procedure was performed competently. A general consent form for nonspecific dental treatment, signed at an initial patient intake doesn’t meet the requirements of the WAC 246-817-305. The regulation requires notation in the patient record of a discussion that leads to informed consent. A word-forword transcription of the discussion is not required, but the note should relate to the treatment provided and should not be generic or copied and pasted from patient to patient.
If a dentist performs a procedure and discovers that more work is necessary, they should consult with the patient, get consent for the work, and note the discussion in the patient chart.
If a proposed treatment is complex or is higher risk, the informed consent discussion and notations should be more detailed and complete. Dentists often use a specific written consent form signed by the patient when a procedure is complicated, of long duration, or high risk. This helps ensure that the patient has the information needed to make an informed decision, provides documentation of the informed consent discussion, and helps reduce misunderstandings and disputes. n W
**Disclaimer: The information in this article is informational only and does not constitute legal advice or a formal position of the Dental Commission.**
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“What is informed consent? The rule says it is ‘a discussion of potential risk(s) and benefit(s) of proposed treatment, recommended tests, and alternatives to treatment, including no treatment or tests.’”
• Grace Clinic provides free medical, dental and mental health services to uninsured adults in the Tri-Cities.
• The clinic first opened in 2002, operating for four hours each Saturday in the basement of the First United Methodist Church in downtown Pasco.
• In 2012, the clinic moved to its own space — a 10,000 square foot facility in Kennewick — where it serves an average of 65 dental patients per month. The clinic is open TuesdaysSaturdays; Spanish and other language interpreters are also available.
• Each month, the dental clinic relies on approximately 50-60 volunteers — including 9-10 dentists, 11 hygienists, and 35-40 dental assistants — to help meet the needs of the community. Area dental assisting and hygiene students also help meet the clinic’s volunteer needs.
Sara Thomas does not have a lot of time to talk.
As the mom to four young children (ages 11, 9, 6 and 4), she balances a full-time job as a parent with her career as a private practice dentist in Richland. But on a sunny summer day, she’s willing to duck outside on her patio for a Zoom call about a project she gladly makes time for: her volunteer work with Grace Clinic in Kennewick.
“I got plugged in shortly after I moved to the Tri-Cities,” she said. “At that time, I realized that dentistry is not only a tool, but a tool meeting a huge need in the community. And once you start seeing how your tool fits, it’s really cool to see how that blesses other people.”
With more than 27,000 uninsured people in Benton and Franklin counties, the clinic has become a major provider of medical, dental and mental health care services, fueled largely by volunteer professionals like Thomas.
She volunteers at the clinic once a month — usually a half day on a Saturday — providing everything from routine oral care exams and fillings to extractions and more complex care. Sometimes, she brings her own kids along for the experience, putting them to work sorting supplies or helping with filing, allowing them to give back, too.
“With more than 27,000 uninsured people in Benton and Franklin counties, the clinic has become a major provider of medical, dental and mental health care services.”
But there are only so many hours in a day, a week, or a month, and choices have to be made.
“Saying ‘yes’ to Grace is often at the cost of saying ‘no’ to someone else,” she said. “Going once a month means I miss a soccer game or a swim meet. But if I have to trade one soccer game or one swim meet to help meet the physical needs of people, it’s worth it.”
Grace Clinic first began operating in June 2002, seeing patients for four hours each Saturday in the basement of the First United Methodist church in downtown Pasco. Founded by two local physicians, the clinic provides services to low-income, uninsured residents of Benton and Franklin counties and is operated primarily by volunteers. In the early days, the clinic only provided medical care and then over time added dental via mobile units and mental health services.
In 2012, the clinic moved to its own space — a 10,000 square foot facility in Kennewick — where it serves an average of 65 dental patients per month. Grace Clinic is open Tuesdays-Saturdays; Spanish and other language interpreters are also available. Since opening its doors, Grace has provided more than 106,000 patient visits — accessing needed health care services that generally were not available to them elsewhere.
Clinic Director Avonte Jackson came to the clinic eight years ago from a nonprofit background.
“I especially appreciate the dental work we do with vets and seniors — I was not aware of limitations of Medicare and the Veterans Administration when it comes to dental,” said Jackson.
While faith is at the heart of the clinic’s mission, the volunteers are committed to meeting people where they are and serving them “with the dignity and respect they deserve,” said Jackson. The clinic is open to anyone who qualifies, regardless of a patient’s own religious beliefs and faith.
“Our motivation is in sharing the love we’ve been blessed to experience,” said Jackson. “The whole idea is that we do this as an act of love — an act of grace — and that plays into our name. As an act of generosity, we give to those who can’t repay us.”
Sunnyside dentist Juan Ramirez says Grace Clinic is unlike anything he has experienced in his work in private practice.
“Everyone there is very appreciative of the work we do. I’ve volunteered at other places, but every time I go [to Grace Clinic], I feel like I get a boost of energy,” said Ramirez. “The people who work there are so great and the patients are so wonderful. Everyone who volunteers is there because they want to be there,” he added. “For work, you go because you want a paycheck. I like the people that I work with, but we’re all here for a paycheck. At Grace, you’re there because you want to be there.”
Ramirez remembers one patient he worked with — a patient with diabetes who needed several extractions.
“He gave me a hug at the end and then said a little prayer in Spanish. Those are the patients that stick with you because you know they
genuinely mean that,” said Ramirez. “There are some patients that really, really stick with you. And they receive about $10,000 in [free] treatment. There is no way they’d get that care without Grace Clinic.”
Like Ramirez, Jackson and Thomas have also been moved by patients they’ve met through the Grace Clinic.
“I tell people this is the first place I’ve ever been where they hugged the dentist after the extraction!” said Jackson.
Thomas recalls one patient, a woman who had a partial denture made in another country that had been stuck in place for two or three years.
“There were two of us treating her,” Thomas recalls. “We had to physically cut part of it and it took two of us to actually remove it. I just remember that’s not something you would see every day, and she had been living with it thinking there was nowhere to get help. It’s just crazy stuff,” she said. “We did a follow up and she looked physically different the next time I saw her. There’s so many things you can do to affect someone’s everyday life that are simple to do, as a provider, and that’s a neat and unique gift to be able to share.”
According to Jackson, one key factor in the success of the Grace Clinic dental program’s success is the work of dental coordinator Jane Tanega.
“We are so blessed to be actively working in this community,” said Tanega, who became interested in the clinic after the prosthodontist she worked for brought her to see the clinic. She joined the staff part time in 2007, overseeing dental operations while continuing to work for a private practice. This year, the clinic brought her on full time, adding restorative and preventive dental services, and doubling the number of dental patients served.
“Sometimes stepping back and seeing the basic talent you have can change the trajectory of someone’s daily life. That has a bigger impact on you than you might realize.”
“A big part of our expansion is having her full time,” said Jackson. “We have much more flexibility to work with people’s schedules, both our patients and our volunteers.”
Ramirez agreed that Tanega has been crucial to the clinic’s expansion and success. “Jane is great — she is really organized and always has a lot of people who want to volunteer there,” he added. “I think they like the
mission and Jane and the way the clinic runs. I was also really surprised at the quality of the materials they have there. Volunteers won’t struggle to have good assistants — all of them are quality people. It’s a good situation for everybody.”
Even in the midst of full personal commitments and busy office days, Ramirez and Thomas agree their volunteer commitments give them a new perspective on their profession.
“It just feels different from working at private practice,” said Ramirez. “Of course, you’re giving your work for free — it’s just a different feeling doing something for someone who really needs it. You feel like you’re in the right place at the right time helping someone,” he said. “Because if you weren’t doing it, they would really, really struggle.”
“Grace Clinic will give you eyes to see beyond yourself,” said Thomas. “Sometimes stepping back and seeing the basic talent you have can change the trajectory of someone’s daily life. That has a bigger impact on you than you might realize. Being able to step into a clinic like Grace and see the way they have partnered with so many areas of the community and doing so honorably with the resources they have, it’s clear the Lord has blessed that place,” she added.
“Stepping inside some place doing so much good, it makes you want to continue. It’s not something you fully understand until you’ve experienced it.” n
At this time of year, dental practices are being purchased, startup practices are opening, and many offices are remodeling or just refinancing their business loans. Whether obtaining a loan to purchase a practice or refinancing an existing loan, your lender will require insurance for collateralization. Most lending institutions require several types of insurance coverage to be in place to protect their interest if you should become disabled, die or experience physical damage to your office. The best (and least expensive) way to satisfy the bank is by purchasing Business Loan Protection, Term Life Insurance and a Business Owner’s Policy. Washington Dentists’ Insurance Agency (WDIA) highly recommends that you begin the insurance application process prior to or early in the process of procuring your loan. The underwriting for these policies takes time, and you will want the policies approved before your loan is finalized.
Many banks require you to collateralize disability insurance for your loan, but WDIA believes that your personal disability insurance should not be used as a collateral assignment. A less expensive Business Loan Protection policy should be used instead. Business Loan Protection is a disability policy that would specifically make your monthly loan payments should you become disabled. Even if your bank does not require disability insurance, WDIA believes having the coverage is worth it for your peace of mind.
Term Life Insurance has no cash value, and so it is very inexpensive. Simply put, if you should die, your beneficiary receives the set benefit amount. Your family should be the beneficiary of your life insurance policy, NEVER the bank. When you collaterally assign the bank to your policy, they are insured that they will be paid only the amount remaining on your loan. The rest will go to your family.
Purchasing a Business Owner’s Policy is also a must for protecting you in case of damage to your property due to fire, water damage, etc. This policy also covers you for general liability as well as providing a loss of income protection if you are unable to practice while damage to your office is being repaired. The bank will require that you name them as an additional insured party on your policy until you have paid off your loan. If you are doing tenant improvements to your office space, you may also need Builder’s Risk insurance, which covers property and materials on-site during the build out.
Because WDIA works only with dentists, we are very familiar with the loan process and can help ease some of the stress that can accompany obtaining a loan. WDIA already has working relationships with the banks and other lenders that most dentists are using, as well as the practice transition teams they are utilizing.
For quotes or more information on coverage for your practice loan, contact WDIA at 1-800-282-9342 or info@wdiains.com n
“Because WDIA works only with dentists, we are very familiar with the loan process and can help ease some of the stress that can accompany obtaining a loan. WDIA already has working relationships with the banks and other lenders that most dentists are using, as well as the practice transition teams they are utilizing.”
• At the 2023 House of Delegates, Nathan Russell will take office as WSDA’s next president.
• Russell graduated from the University of Washington School of Dentistry and began his dental career in the US Air Force.
• Now with 20 years in practice, Russell operates three offices on the western shores of Puget Sound.
• A committed family man, Russell and his wife, Brooke, have five children — and a unique way of giving them a global perspective.
• Russell regularly visits Guatemala to provide humanitarian dental care.
athan Russell, who begins his term as WSDA president at the House of Delegates meeting in September, is a straightforward kind of guy. He has a very clear vision of what’s important to him.
“On my tombstone, it probably should read that ‘he loved loyalty,’” Russell says. “I’m extremely loyal to my family, to my friends, to my patients, to the dental profession, and to WSDA. And I value loyalty in return.”
In addition to being motivated by mutual loyalty, Russell also has the unflinching determination to do what it takes to make his personal and professional goals a reality. Inspired by his grandfather, a PhD biologist who taught high school science, Russell knew from an early age that he wanted to pursue a career in health sciences. But he didn’t originally plan on becoming a dentist, instead setting his sights on becoming a cardiovascular surgeon.
After receiving his undergraduate degree with a pre-med major from the University of Washington, he lived in Finland for three years — two on a church mission and a third while attending a year of medical school.
When he returned to the states, he applied to both medical and dental schools, comfortable in pursuing either path based on which school accepted him. Fortunately for patients and fellow dentists in Washington, that was the University of Washington School of Dentistry.
“Originally, I didn’t think I’d like dentistry,” he recalls. “But I fell in love with the profession while in dental school.”
Today, as he marks 20 years in practice, he operates three offices on the western shores of Puget Sound — on Bainbridge Island, where he and his family live, and on the Kitsap Peninsula. He splits his time between the three clinics and also works with associate dentists in each. The offices offer a full range of general dental care, but Russell is especially interested in
N“Originally, I didn’t think I’d like dentistry, but I fell in love with the profession while in dental school.”
oral surgery, having completed a residency in the field following dental school.
“I love talking with my staff, learning about them, getting to know about their families. We eat a lot together; some of them make great cookies. I feel like my staff is an extension of my family,” Russell says.
Having completed dental school and his residency, Russell began his career by enlisting in the United States Air Force. His first posting was at Keelser Air Force Base in Biloxi, Mississippi, which represented a big change for both the young dentist who grew up in California and was trained in the Pacific Northwest, and for his wife, Brooke, who is a native Washingtonian.
“We learned all about humidity while we were there, but we ended up loving the area and especially the people we met in Mississippi,” he says.
His next assignment was an even bigger change, as he was transferred to Incirlik Air Force Base in Adana, Turkey. But the Russells ended up loving Turkey, too, and have returned several times over the years. Beyond the setting, the post was a great training ground for a dentist who was still early in his career.
Russell explains that his commander on the base spent enough time with him to be comfortable that he knew what he was doing, and then took a hands-off approach. As a result, Russell became “the” dentist on the base, and he had free rein to treat the base population as he saw fit.
“I loved it, because I could just practice dentistry,” he recalls.
Russell’s time in the Air Force — he remains an active reservist — also gave him the opportunity to do a stint providing care in the Arctic for native Alaskans. It may have been his first time caring for an underserved population, but it would be far from his last.
As his practice has developed, it has allowed him to take a number of humanitarian trips to Guatemala, providing dental care to families there.
“I love that type of work, and will continue trying to expand my volunteer efforts,” he says. “It’s very fulfilling. You’re not battling the workforce or dental benefit challenges we battle at home. You’re simply serving people, and the local patients and staff that you’re working with are just so grateful for you being there and willing to help.”
“If I thought I could support myself doing just that type of work, I would.”
These adventures in philanthropic care have provided other rewards as well, such as feeding Russell’s keen interest in international travel. It’s an interest that
began with his church mission to Finland, that was amplified by his travels during his military service, and that continues to this day.
When asked what advice he would have given his younger self, Russell immediately focuses on the desire to see more countries and experience more cultures.
“I think I would have advised my younger self to try and find a meaningful career that would provide more opportunities to be mobile,” Russell says. “When you are a dentist, you have an obligation to your patients to be available to them. Your practice keeps you anchored. I certainly don’t regret being a dentist — I love the profession — but it has kept me tied down in one place.”
“You’re not battling the workforce or dental benefit challenges we battle at home. You’re simply serving people, and the local patients and staff that you’re working with are just so grateful for you being there and willing to help.”Dentistry in the Arctic Circle. With some Guatemalan patients.
That doesn’t mean that he hasn’t worked to pass on his global perspective to his children. The Russells have five children, two boys and three girls ranging in age from 13 to 27. As the kids enter their junior year of high school, each picks a country where their mother will take them to spend six months as a homeschooled foreign exchange student. They arrange local housing, make connections with a local church, and split their time between schoolwork and becoming immersed in local art, history and culture.
So far, the children’s choices have included Turkey, Spain, Great Britain, and New Zealand/Australia. Their youngest daughter is looking ahead to her upcoming choice and the current leader is France.
Russell’s time outside the office tends to revolve around his priorities of faith, family, and friends. Not that he doesn’t indulge in pursuing a few personal interests. Harkening back to his Air Force roots, he is currently learning to fly. And he has been an avid Harley-Davidson rider since his 40th birthday.
But more time is spent supporting his family’s activities and interests. While that can include enjoyable activities like family ski trips, it’s not all fun and games. Former WSDA President Ashley Ulmer recalls a board meeting where Russell seemed unusually tired.
“He told us he had stayed up late working on a coop for his kids’ chickens. Naturally, we all gave him props for being such an attentive father. But he told us that his daughter had brought a chicken into the house and let it walk on the kitchen table, and he hated chickens in the house even more than he loved his children. So, he had stayed up all night building the coop!”
Chicken-related construction projects aside, these days Russell enjoys traveling to visit his collegeaged children who are studying in California and Utah. (Despite his University of Washington pedigree, he remains an avid fan of BYU, where his two sons graduated, and his oldest daughter is currently enrolled.) One thing you’ll seldom find is Russell sitting down to watch television or movies.
“The only time I tend to watch TV is when I’m running on the treadmill. There are just too many more interesting things to do to keep busy,” he says.
As much as Russell relishes opportunities to “just be a dentist,” he recognized years ago that running a successful practice goes way beyond providing excellent patient care. It
are just
to do to keep busy.”
includes many other challenges similar to those facing any small business.
“Dentistry has become much more challenging over the course of my career,” he says. “There’s a lot more stress, especially around workforce and dental benefits. I think our profession is evolving to follow the medical model with more consolidation and more corporate ownership of offices and practices. It’s not what it used to be. Dentistry is probably still the last bastion of the private practice model, where it’s just the doctor and the patient, but that is becoming increasingly rare.”
“The only time I tend to watch TV is when I’m running on the treadmill. There
too many more interesting thingsAncient ruins in Turkey — a favorite destination. Clinica Ezell, Guatemala.
Recognizing these challenges, Russell decided to tap some of his GI benefits and return to the University of Washington, enrolling in the school’s highly regarded Executive MBA program from 2011 to 2013.
Upon graduation, he had an interest in budgeting and finance, and he felt fully prepared to contribute his newfound expertise, so he volunteered to serve on the WSDA Budget & Finance Committee. After serving on the committee for about three years, he was encouraged to run for WSDA secretary-treasurer, an office that he held for two three-year terms and that set him on the path toward becoming president.
Russell took his role as keeper of the WSDA purse strings seriously.
Ulmer says, “The joke around the board table is that anyone wanting approval for any extra-budgetary expenditures should wait until Nathan leaves the room before bringing it up. He has no problem saying ‘no’ to spending!”
The three-year commitment to serve as president-Elect, president, and immediate past president is the culmination of Russell’s long involvement in organized dentistry.
“I started getting involved during my first year at the UW School of Dentistry. I served as UW ASDA president throughout my time at the school,” he recalls.
He also credits the support of three WSDA leaders who served as mentors and encouraged him to become and stay involved: Drs. Rick Crinzi, Denny Homer, and Jeff Parrish.
“They were just very supportive. They stayed in touch with me even when I was in the military,” he says.
Looking ahead to his term as WSDA president, Russell has both a focused and a broad agenda. “Workforce issues and dental benefits challenges will be our top priorities,” he explains. “But I’m interested in anything we can do to support our member dentists.” That commitment may lead him into some uncomfortable waters. “Policy and advocacy aren’t my strong suits. Both sides drive me crazy, and I find myself becoming increasingly cynical about the political
system and what goes on in both Olympia and DC. But government has a direct effect on our lives, even more than we might think,” Russell says.
“With all these external forces, sometimes it just feels like practicing dentistry isn’t as enjoyable as it once was. I think many practices are reaching a breaking point. We still enjoy caring for the patient, but it’s getting harder and harder to focus on that patient.”
“As WSDA leaders, our job is to try and make a difference in protecting that unique doctor-patient relationship. We are giving our time to preserve and protect our profession because we don’t want to watch it fall by the wayside the way so many other professions have,” Russell says.
“If I can do one thing to make it one shade better for those who come behind me, I’ll be happy.” n W
Nathan Russell has worked with a number of presidents during his time on the WSDA Board of Directors. We asked three of them to describe him and his personal leadership style.
Dr. Cindy Pauley
WSDA President, 2018
“Nathan is a man of strong faith, love of family, and service to our community and our country. He is a loyal friend, a wonderful dentist and a dedicated family man. If you are lucky enough to call him a friend, he is as kind, loyal and caring as they come. Nathan is going to thrive as president of the WSDA. His leadership style is collaborative, thoughtful, and driven. He leads with purpose and direction, while never forgetting passion and heart. WSDA could not have a better letter to take us forward.”
WSDA President, 2020-21
“You knew when you first talked with him that he would move up the leadership ladder at WSDA. Nathan isn’t someone who needs to tell you how informed, involved, committed and bright he is — you just know it.
His quiet presence speaks volumes. Nathan has always been like the keel on a boat; no matter which way the wind of opinion is blowing, when he adds his point of view, the path forward becomes much clearer. I was a better leader at WSDA because he was part of the leadership team. He always carries his weight, plus more.”
Dr. Ashley Ulmer
WSDA President, 2022
“Nathan and I went to dental school together. We were in the same class and because our names were in the same part of the alphabet, we shared labs and breakout sessions. I’ve always enjoyed working with him because he’s really talented and experienced. He’s always so serious and it was fun to mess with him because he took everything so literally. Nathan is principled; he has integrity and honesty. He is a strong leader and knows how to run a clean and efficient operation. He is kind and considerate and has had a strong working relationship with the leadership and staff of WSDA for a long time. He has helped make WSDA the organization our members expect us to be.”
“Workforce issues and dental benefits challenges will be our top priorities, but I’m interested in anything we can do to support our member dentists.”
Publisher’s Note: Volunteers play a vital role in any membership organization. The WSDA and its affiliates have been fortunate over the years to have so many talented professionals serve on its committees, boards and in other volunteer positions. But how does one decide the time is right to pursue a volunteer opportunity? What should you look for before signing up? In this issue of WSDA News, we wanted to explore different pathways to volunteerism and leadership, as seen through some of those dentists with firsthand experience — three WSDA member dentists serving in varying volunteer capacities.
As a dental professional, time is a major constraint for any volunteer work and you have to be selective in what roles you agree to take on. What do you look for in a leadership opportunity? What piques your interest?
DR. SAMIA: When I started volunteering with SCDS and WSDA, I didn’t know much about the leadership opportunities each had or what different roles entailed. I got involved by saying yes when asked to volunteer, and I’m happy that I did so.
Taking on different roles on the local and state level with little discretion has given me a much greater understanding of how our organizations work, both individually and collectively. In the future I hope to continue to be involved in smaller committees and projects that feel directly impactful to my daily practice/business ownership. I’d also love to help encourage progressive evolution
of Washington state dentistry in areas like diversity and inclusion and sustainability.
DR. KELLER: I look for opportunities that allow me to make real impacts on the organization. Some volunteer opportunities can be reduced down to attending a meeting once a year and making comments – those aren’t for me. I like smaller committees or councils where my thinking really makes a difference.
I generally gravitate into three areas:
1. I have many years of experience with, and really enjoy, advocacy. I like working with regulators and legislators on difficult issues. I enjoy building consensus and seeking novel ways to address complex issues. I enjoy building relationships with other leaders who think very differently about things than I do.
2. I love education. Heading off problems through education makes so much sense
to me. I believe wholeheartedly in the power that competent generalists have to shape the lives of our patients. But I’d love to see education become both more adaptive and responsive to the market and technological forces that are transforming our world. Both the formal classroom (e.g., dental schools) and the continuing education machine that supports us after we graduate are fertile soils for innovation and disruption.
3. My MBA is in organizational leadership. So all things that have to do with governance, structure, vision/mission statements, and future planning are things that stimulate my interest to contribute.
DR. FUJITA: I did not begin working with my local and state association with the mindset that I was taking a leadership role as much as I thought of it as a service role. It wasn’t so much that I was in the market for another thing to do in my busy life as much
WSDA member dentists share their experiences, insights and advice on volunteer service to the professionDr. David Keller is a private practice family dentist in the Vancouver area. He serves on the WSDA Regulatory Affairs Committee. Dr. Mikaely Moore Fujita is a private practice family dentist in Auburn. She chairs the WSDA Dental Benefits Committee. Dr. Clio Samia is a private practice dentist in Everett. She is immediate past president of the Snohomish County Dental Society.
as I saw that there is a need for advocacy on behalf of myself, my colleagues, my employees/team-members and my patients. I was made aware at the House of Delegates that a task force was being formed related to dental benefits issues and I knew that I needed to be a part of that.
The dental benefits committee piqued my interest because it is vitally important to the viability of the cottage industry model of practicing dentistry in our state. I did not want to sit on the sidelines while other nondentist entities were in a position to affect the viability of my practice more than I was. And it is my belief that I am best positioned to advocate for issues that affect the health and wellness of patients with my professional knowledge, experience and the fact that I know them and sincerely care for them in my practice.
Before the task force was formed, I was always a strong advocate for my patients with their 3rd party payers when things were not processed fairly and I would advocate relentlessly to get it right for them. I felt I was in a better position with my knowledge to make a case on their behalf to get things right.
What do you personally get out of taking on a leadership role?
DR. SAMIA: The biggest thing I gain by taking on leadership roles in organized dentistry is community connection to my peers. I did not attend a local dental school. When I started volunteering, I was younger than the average person I saw at my local
meetings and younger than the average leader I saw in WSDA/SCDS.
For these reasons, along with the inherent isolation of practicing dentistry, I didn’t know many dentists around me or those in leadership positions. That changed immediately upon starting to volunteer, and I am so grateful for the community of friends, peers, and perspectives I’ve gained. It’s also extremely satisfying to have an idea about a positive change you’d like to see in your professional organization and be able to see it implemented.
DR. KELLER: I make friends and develop relationships. I practice by myself (with my team), so having meaningful connections with other dentists helps me develop an emotional and professional support network where we help one another with all the challenges inherent in our profession. I also get to create a legacy. I love dentistry; it has been so good to me and my family. I want to both preserve that experience and improve it to bequeath it to the generations that will follow us in our profession.
DR. FUJITA: I get a seat at the table influencing the forces that are shaping my profession. I did not want to sit idly by and complain about the economics and non-dentist influences that threatened the viability of small business dentistry without trying to steer things in a better direction for all the stakeholders in our profession. I want to work in a profession that I would tell my daughters to pursue if they wanted to do so.
Where were you in your career when you felt comfortable pursuing volunteer interests?
DR. SAMIA: When I started volunteering with SCDS, I was one year into private practice ownership and six years out of residency. To be honest, I didn’t consider where I was in my career when I said yes to a volunteer opportunity within organized dentistry.
DR. KELLER : I’m a bit unusual because I’ve always gravitated to leadership. I was college [student body] president in university, I was a leader in dental school, and I was on the Washington Academy of General Dentistry (AGD) board my last two years of dental school. That interest and commitment continued through my service in the US Army Dental Corps and now in private practice. My philosophy has always been that there is no time like now to be counted for good and that if I see a need or a way I can contribute, that means I need to get involved today.
DR. FUJITA: Honestly, if I waited to get involved in volunteering and service until it was comfortable, I would never have begun. I was certainly past the early years of practice ownership when I was occupied with a lot of learning curves both clinically and businesswise. In my case, I bought a small practice straight away, so I was experiencing those learning curves simultaneously. Also, my daughters were in school when I started volunteering so that made it easier.
I am still super busy and I am trying to practice being more intentional about where I put my energy so I can still be present in a meaningful way for my family.
What type of leadership opportunities have you participated in?
DR. SAMIA: I have served on my local association executive committee, as well as acted through the tract that ends with
“It is too easy to be an island in our profession. When we are engaging with each other, we can show others how to show up in organized dentistry.” — Dr. FujitaDr. Samia (center) volunteers with other members of the Snohomish County Dental Society to provide dental care to children at the society’s annual Toothapalooza event.
serving as the component society president. This brought me into some WSDA events like House of Delegates, and I served on a WSDA committee subsequently.
DR. KELLER: I’ve served in lots of ways. I’ve been on state and national committees and councils, for both the ADA and the AGD. I’ve held elected positions. I’ve been a leader in dentistry and in community organizations. It’s not the size of the stage however; it’s the size of the actor that makes the difference. In some ways, serving in local leadership roles can be the most rewarding because you’re rubbing shoulders with people you see often and with whom you can have meaningful relationships, like mentoring a new graduate, or teaching at the local RDH or DA schools.
DR. FUJITA: I have served as a delegate for SKCDS for about four-and-a-half years. I served as the secretary/treasurer of my chapter of the Academy of RV Tucker Study club for about 10 years and have been a member since I began practicing 12 years ago. I began working on the dental benefits committee/task force since the Spokane HOD in September 2021 and became the chair of that committee last fall.
Can you share an example of your favorite or most rewarding opportunity you’ve been involved with to date? What makes it so remarkable?
DR. SAMIA: I don’t know that I have a favorite opportunity I’ve been involved with, though I truly love being on my component dental society executive committee and helping to plan member benefits and activities. Our monthly meetings always leave me feeling connected, supported, and more energized to go back into practice the next day.
DR. KELLER: My most meaningful leadership opportunity to date has been teaching in my local dental assisting school for the past 15 years. I spend a day each month with local high school students. I get to praise them, encourage them, and support them at a time when there are many pressures in their lives that weigh them down. I get to help them experience simple dental procedures that build their confidence in themselves and their ability to positively influence their futures. It’s not glamorous, and most of them will not go into or stay within the profession. But I imagine it’s where my personal
influence has the greatest meaningful impact and I consider it a privilege to try to be a force of good and positivity for these young people.
DR. FUJITA: The opportunity I have appreciated most is the work on the Dental Benefits Committee because I believe we can make a meaningful impact for my patients, my colleagues and our team members. It has allowed me to have hope that my style of practice and the care I provide will have a place in the future and be a viable business model.
On the flip side, have you ever taken on a leadership role that didn’t work out well for you or didn’t meet your expectations? What was different from your more rewarding experiences?
DR. SAMIA: I think every role gives you some insight. In certain roles I’ve felt more or less impactful, but the experiences gained have always given me a greater understanding of our profession and professional organizations.
DR. KELLER: Politics are a real force in any leadership position; dentistry is not immune to that. I’ve had positions given and taken away from me as the winds of politics blow, and that’s frustrating. I’ve been given opportunities that look like I’ll have a chance to really get into the game, but in which I find myself sitting in meetings and really not contributing in meaningful ways. I’ve had assignments delegated to me and then revoked as leaders win elections and opt to put their people into positions. While this is part of the leadership experience, the lack of self-determination really rankles me. I don’t mind running against someone and losing: there are lots of fantastic leaders in dentistry. But to not have a chance to prove my worth or to be pushed aside or not fully vetted because of a leader’s desire to make a political appointment — that’s more of a cold prickly than a warm fuzzy for me.
DR. FUJITA: I have done some work that wasn’t as compelling. I think it inherently came down to the fact that I wasn’t passionate about the subject itself. It makes sense to me that joy comes from pursuing things we feel passionate about. The time sacrifice and work feel less effortful when it aligns with my natural interests and when I have hope that we might actually make a difference.
What questions do you ask before you pursue a volunteer position?
DR. SAMIA: At this point in life — with a oneyear-old — I ask about the time commitment so I can figure out how it will impact “bedtime.” But really, I am motivated to do the best I can in any role, and I want to make sure I have the time and bandwidth to do so in a new opportunity.
DR. KELLER: First, I look at my family situation. My family always comes first. So, I ask myself, “Do I have the time to do well in whatever position I’m considering without negatively impacting my home life?” Then I ask myself, “What about this opportunity is exciting to me?”
Finally, I ask myself, “To whom will this position expose me and how will that further my career or help develop me as a leader?” I don’t do things that negatively impact my home. For example, for five years I was a bishop in my church congregation. Accepting that call required me to step away from all of my other leadership positions in every other area of my life, some of which I really loved. When that call ended it freed up time for me to get back involved.
I’ll take a little bit of a boring position if it exposes me to people who will help me grow. For instance, I’ve served on a committee with the CEO of a billion-dollar shipping company. I’ve served on a board with a former governor and multiple state legislators. Those opportunities developed me in ways I would not have gotten sitting at home.
DR. FUJITA: My perspective at this point is that volunteering must be weighed against the sacrifice of missing time being present with my kids. That is a high bar, because they are growing up and I am constantly humbled with the realization that time is flying by. My philosophy at this point is that if I take on another service role it must take the place of something else versus adding more. Practicing work-life balance is something I am trying to improve each day.
“My philosophy has always been that there is no time like now to be counted for good and that if I see a need or a way I can contribute, that means I need to get involved today.” — Dr. Keller
What, if any, are the major barriers that must be overcome in being able to successfully assume a leadership role?
DR. SAMIA: Depending on the position there are certain roles that are elected or voted on, and that seems more likely to be successful if you know other people in leadership roles. For those that are easily discouraged and may not get elected the first time, or who have not previously been involved, they may not continue to pursue more opportunities. I think time commitment for certain leadership roles is also a barrier, especially for members with young families, and particularly mothers of young children. That being said, there are so many ways to be involved, and so much support available for different roles that it is definitely doable.
DR. KELLER: I don’t see many barriers to leadership; I believe anyone can be a leader. Of course, some leaders have higher charisma, and some leaders are far more effective than others, but there is almost an unlimited need for individuals to step up and lead in organizations big and small, and dentistry is not an outlier in that regard.
There are, however, generally two major gates to opportunity. The first one is personal: There are individuals who could be fantastic leaders, but they have to step up. While I’m a huge fan of grooming future leaders, until
an individual expresses interest or positively responds to an invitation to get involved, they are invisible. People who want to lead need to be seen.
The second gate focuses on relationships. Take the WSDA board: future leaders are elected by the House of Delegates. The person with the most quality relationships generally wins the election. So, once an individual decides to lead, the only barrier to future leadership will be the desire and capacity to form those relationships needed to assume the desired position. Again, centering on WSDA leadership, building relationships with fellow dentists in your community will be nowhere near as impactful as building relationships with the delegates to the House who actually do the voting.
DR. FUJITA: The barriers I face are practical ones: Can I get out of work in time to make my meeting? Will my kids keep coming into my office during the Zoom call? (They do and it’s okay.) Every dentist in our meetings is making it work with a full life and we show up the best we can.
What advice would you give to a colleague who wants to assume more of a leadership role in the WSDA or ADA?
DR. SAMIA: I would encourage that person to reach out to WSDA admin staff and ask
for an introduction to any current board or committee member. I have found our existing leaders to be excited about new people who are interested in getting involved, and happy to provide insight and mentorship. Those who have served for years will absolutely have the best perspective on starting that journey. Secondly, I would encourage everyone interested to go to the House of Delegates at least once.
DR. KELLER: If possible, find a mentor. Both WSDA and ADA publications have a list of leaders within the organization: reach out to one. Express your interest and ask for some mentoring. While anyone can respond to the periodic call for volunteers, a mentoring relationship is both far more rewarding and far more likely to result in meaningful leadership versus just filling a position because it’s available.
(Publisher’s note: Find a list of WSDA mentor dentists at www.wsda.org/mentor.)
DR. FUJITA: Just call your component society or the state dental association and ask how you can help. You will not be turned away. Our profession needs you and your passion. n W
Acouple of years ago, WSDA launched a new member program called WSDA Retro. The pitch was that dentists who enrolled could earn money back on their workers’ compensation taxes. I signed up for it, and soon it blended into the background along with all the other little taxes and compliance matters that we put in place and only revisit when there’s a need. Fast forward to a few months ago, when I received an unexpected and unwelcome Labor & Industries claim against me from an employee who hadn’t worked for me for about a year and a half. The injury related to neck pain from working in the dental setting. I didn’t feel I had done anything to cause or aggravate her injury during her time at my office, nor did she ever say anything to me about our workplace being ergonomically problematic.
I was advised by WSDA to have ERNwest — WSDA’s partner in managing the Retro program — look into the claim for me for free. I had no idea that I had somebody in my court
“I haven’t enrolled because this sounds too good to be true.”
We get it — some of the benefits dentists get from WSDA Retro do sound “too good to be true,” but they are not. The success of the program requires members to control claim costs. Therefore, program benefits are designed to help you do just that. Two of WSDA Retro’s main benefits include offering you free support from ERNwest staff to resolve claims (like Dr. Lee’s experience ) and offering you up to 100% wage reimbursement for bringing injured employees back to work on modified duty. These benefits may seem “too good to be true” to the individual dentist due to the cost savings you see from a free service, but in the long-term, your individual success immensely benefits all enrollees in our Retro program through increased premium refunds.
“Is this program actually free?”
Yes, WSDA Retro enrollment and all associated program benefits are free to WSDA members. The only thing you must
do to stay enrolled is keep your WSDA membership active, which is a legal requirement by the state of Washington to participate in the Retro program. We are fortunate that Washington state allows for Retro programs — not every state does — and are taking advantage of this opportunity on your behalf.
“What is the risk? Could I pay more if I sign up?”
No, you are not at risk of paying more if you sign up for WSDA Retro. WSDA as an organization, not the individual dentist, assumes all risk for our Retro group. In fact, you put yourself at risk of paying more than you may need to if you are not enrolled. If you are faced with a workers’ compensation claim and are not a Retro participant, you will have to hire a consultant or attorney to manage the claim for you, or simply pay the claim and accept the impact that the claim costs will have on your future rates without knowing if it could have been lowered or eliminated.
to help me with this, but through this process I learned that ERNwest has a staff of workers’ compensation experts dedicated to advocating for dentists enrolled in the Retro program. In my case, they discovered that L&I incorrectly assigned 18 percent of the claim to me, and that based on when and where her wages were earned, my responsibility was actually under 10 percent. Better still, being under 10 percent meant I would be removed from the claim.
Without ERNwest, I never would have known there was a problem with the claim. I would have either had to hire an independent advisor to help me, or more likely, I would have just accepted my fate and paid a bunch of money for a claim wrongfully assigned to me. My representative at ERNwest was responsive, professional, and saved me a lot of money. Plus, it cost me nothing as a WSDA Retro participant. If you have an L&I claim and you’re a part of WSDA Retro, be sure to have ERNwest help you with the claims process. And if you aren’t enrolled in this free member program, do yourself a favor and sign up today.
The WSDA Retro program is a valuable and exclusive benefit of your WSDA membership. Since launching in early 2020, WSDA Retro has successfully enrolled over 1,100 Washington dental offices and counting. Sign up today for free at www.wsda.org/retro to add your office to the growing list of those taking advantage of workers’ compensation support, reimbursed employee wages and other Retro perks when they need it most.
Signing up is EASY!
• Go to www.wsda.org/retro
• Click on “WSDA Retro Application”
• Complete/sign the following:
✔ Participation Agreement
✔ L&I Retro Application
✔ Contact Form
• Fax or email to ERNwest
Enrollment Questions? Contact Julie Osterberg with ERNwest at josterberg@ ernwest.com
“I had no idea that I had somebody in my court to help me with this, but through this process I learned that ERNwest has a staff of workers’ compensation experts dedicated to advocating for dentists enrolled in the Retro program.”
How free support from ERNwest resolved an L&I mistake that would have cost me significant money, time and stress
Sign up today for WSDA Retro, an association-sponsored workers’ compensation retrospective rating (Retro) program for member dentists.
Exclusively available to WSDA members, WSDA Retro provides a no-cost, no-risk way for WSDA member dentists who own dental practices to earn money back on the workers’ compensation premiums they already pay to the Department of Labor & Industries (L&I).
• Visit www.wsda.org/retro
• Complete the Group Retro Application and Membership Agreement forms
• Become qualified to earn money back on workers’ compensation premiums you already pay to L&I
• Receive assistance with workplace injuries from ERNwest professionals, who will work directly with Labor and Industries on your behalf to quickly and reliably manage claims
• Receive 100% wage reimbursement for bringing injured employees back to modified duty as soon as possible (Return to Work)
• Implement effective strategies to keep your premium rates down
• Access easy-to-read reports outlining claim activity and costs, along with ERNwest representatives available by phone
WSDA has a great new benefit for Retro participants! Bringing injured employees back to modified duty as soon as possible — also known as Return to Work (RTW) — just got more beneficial. Currently companies can get reimbursements from L&I for up to 50% of wages. Now, WSDA will match the 50%, so participants can get up to 100% of wages reimbursed.
The success of the WSDA Retro program requires members to control claim costs. We are helping practitioners do just that by implementing this new program that pays for providing modified duty work to employees who are not able to come back to their job of injury.
Visit www.wsda.org/retro to sign up by December 1.
Letter: ‘Inadequate numbers and maldistribution of health care professionals mean a lack of access to health care’
The ADA, in partnership with 19 other health care associations, urged Congress to take action to solve health workforce issues in a June 29 letter sent to all members of Congress.
The letter said that “inadequate numbers and maldistribution of health care professionals mean a lack of access to health care for many Americans, and legislative solutions are needed to broaden the health workforce pipeline and to get health workers where they are most needed.”
The letter did not advocate for specific legislation, but noted several general policy areas that Congress should support. “All health care providers face financial challenges when practicing in underserved communities that could be alleviated by changes to tax policy,” the letter said. “Student loan relief may encourage more young people interested in health professions to join the workforce, while also smoothing the path into underserved communities. Funding workforce grant programs and public service programs can also alleviate geographical and population access to care disparities.”
The groups emphasized that “the COVID-19 public health emergency created massive shifts in the health workforce and exacerbated already existing workforce problems. Financial instability compounded the stress of paying off student loans for many providers, and burnout led others to leave the health care field altogether. These shifts have made geographical and population disparities more acute. At the same time, it has become more difficult for physicians, dentists, hospitals, and other health care facilities to find allied health professional staff. Despite intensive candidate searches and offers of new employment inducements, staff vacancies remain that limit the number of patients who can receive care. Ultimately, if these health workforce challenges are not met, it means limited access to health care for Americans.”
Follow all of the ADA’s advocacy efforts at www.ADA.org/advocacy
Use the ADA’s contract negotiations toolkit to discuss potential increases in fee schedules with payers
The ADA Council on Benefit Programs is recommending that it is always appropriate to report the full fee in the dental claim form for each service reported to a third-party payer. A question frequently asked of the ADA staff is, “What fee should dentists put on the dental claim form: My full fee or the plan’s maximum allowable (network) fee?” said Mark M. Johnston, D.D.S., chair of the council’s Dental Benefit Information Subcommittee.
A full fee is the fee for a service that is set by the dentist, which reflects the costs of providing the procedure and the value of the dentist’s professional judgment. A contractual relationship does not change the dentist’s full fee. Therefore, the council recommends that it is always appropriate to report the full fee.
“It is always surprising to me how many dentists do not submit their full fee on a claim,” said Dr. Johnston. “It may be due to many factors, including a front office person that does not like to deal with the practice management system’s accounting package, so they just submit the fee that they know will not require any write-offs, making their job easier. The doctor may not be aware of the reduced fee submitted by the team member and then wonders why there are never any increases in the reimbursement.”
The council is also reminding dentists of the importance of conducting an annual review of their signed PPO agreements and talking to payers about fee increases. The ADA’s contract negotiations toolkit may come in handy if dentists want to try to renegotiate contract terms and provisions, including network fee schedules.
Another resource that may prove valuable is an archived ADA webinar titled PPO Contracts and Processing Policies: What you need to Know.
In addition, the ADA has an online hub for ready-to-use dental insurance information, and dentists can find useful information at www.ADA.org/DentalInsurance
Most hygienists and assistants received wage increases in the past year
Dentists still face major challenges in recruiting dental hygienists and dental assistants, despite the majority of responding owner dentists reporting that they have given hygienists and assistants a pay raise in the past year, according to the latest ADA Health Policy Institute emerging issues poll. The poll of some 1,100 dentists conducted June 13-19 found that, among the approximately 1 in 3 dentists who have recently or are currently recruiting, 94.5% of respondents reported that recruiting dental hygienists remains very challenging or extremely challenging. Filling dental assistant positions also remains a challenge, with 83.7% reporting that they found it very challenging or extremely challenging to recruit dental assistants — about the same level as reported in last year’s polling.
About four in five responding owner dentists reported giving their dental hygienists and dental assistants a wage increase in the last year. When owner dentists were asked about the last wage increase offered to staff, the majority of wage increases for dental hygienists were in the range of 4-6% (34.6%); 14.8 percent reported giving wage increases of 7-9% and 22.8% reported a wage increase of 10% or more, while 27.7% reported a wage increase in the 1-3% range. For dental assistants, 41.3% of owner dentists gave wage increases of 4-6%; 15.7% reported giving wage increases of 7-9% and 21.4% reported raising wages for assistants 10% or more, while 21.6% offered a raise between 1-3%.
One in five respondents reported offering paid leave to hygienists and assistants. And the top three benefits they provided to their hygienists and assistants were dental benefits (92.6%), paid vacation (91.5%) and paid holidays (88.8%).
Other poll results found that:
• Dentists’ confidence in their practice, the dental care sector and the U.S. economy rose slightly.
• Appointment schedules were 88% full in June 2023 — the highest point since March 2022.
• Patient no-shows and late cancellations remain the most common factor for unfilled practices schedules.
To join the panel and read the full monthly reports, visit www.ADA.org/HPIpoll
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Self-Funded plans
Fully Insured plans
The Employee Retirement Income Security Act of 1974 — commonly called ERISA — is a federal law that regulates employee benefit plans, including those for dental care. In general, dental coverage can be separated into plans that are defined as either: “self-funded” or “fully insured.” This distinction determines how the plan is regulated. Self-funded plans are when an employer pays fees to an insurance carrier for certain administrative services, but the employer bears the cost of any employees’ health care claims. These plans are regulated by ERISA.
Fully insured plans are when an employer pays a premium to an insurance carrier, and the carrier pays the cost of health care claims for anyone in the plan (employees). These plans are regulated by state insurance laws.
Some carriers administering ERISA plans argue that since ERISA is a federal law, it supersedes, or “preempts” state insurance laws that protect patients. For example, if there is a specific dental insurance problem that a state legislature passes a law to fix, like assignment of benefits, the selffunded plans claim ERISA preemption to avoid compliance with that law.
Nationwide, approximately 46 percent of subscribers are covered by self-funded dental plans. Those plans fall under ERISA, and ERISA has historically proven to be very difficult to amend. Since so many plans are now covered by ERISA, and that number is growing, statelevel insurance laws protecting patients and dentists are being rendered increasingly irrelevant.
46%
of subscribers are covered by self-funded dental plans which are proven to be very difficult to amend.
Dental insurers in most states used to dictate the fee network contracting dentists could charge for services insurers never covered, like elective cosmetic procedures. Most of the states have passed laws that prohibit this. So, why are insurers still able to dictate the noncovered fees even if there’s a law saying they cannot do that? If they are administering a self-funded plan, they may cite ERISA preemption.
We need your help to show state officials the magnitude of the problem and to keep the momentum established under the recent court case.
Talk to your patients and your colleagues about the specific laws insurers should be complying with. Also, talk with your state lawmakers and Attorney General about how ERISA preemption is hurting their constituents. Creating public awareness of the problem is the first step to reforming this federal law. If you’re experiencing issues firsthand, talk to your state dental association.
Many states have laws that require insurers to pay non-network participating dentists directly, instead of the patient, for covered services if the patient/subscriber requests it. These are called Assignment of Benefit laws. But why are insurers ignoring the patients AND the law? Carriers administering self-funded plans may be refusing to comply and cite ERISA.
Recent U.S. Supreme Court findings in a pharmacy insurance case pierce the ERISA protection for insurers, suggesting insurers’ preemption claims may have gone too far. The U.S. Supreme Court found that pharmacy insurers’ claim of state law exemption under ERISA was wrong; it is time to shine a light on all insurers who use ERISA this way.
Take Action! If you find that carriers are refusing to comply with noncovered services, Assignment of Benefit law, or any other law you know has been enacted in your state, document it and communicate with your state dental association. The more evidence of insurers’ ERISA over-reach, the better the chances they will be held accountable. The ADA and your state dental association are informing state lawmakers and enforcement agencies of this concern, highlighting recent U.S. Supreme Court findings that insurers have gone too far. They are also making sure state officials are aware that insurers may be taking an unfair advantage of ERISA and not complying with the laws state officials’ pass and enforce.
This September marks my first full year as Dean of the UW School of Dentistry. Throughout this time, I have been privileged to see the many contributions students, faculty, staff, the local and regional dental community, and all our partners make every day in our region. Together, we serve our state and beyond through patient care, education, research, and service. I am enormously proud to count myself as a member of this engaged community.
As I look over this past year, I see the many ways our School and community have been a force for good. Please join me in celebrating our collective accomplishments and looking ahead to the opportunities for continued collaboration this year.
• The UW School of Dentistry Class of 2023 graduated. They are beginning the next chapter of their careers, ranging from entering a practice, to research endeavors, postgraduate training programs, and serving the community in various capacities.
• We also celebrated the 2023 graduates of Shoreline Community College’s Dental Hygiene Program, housed on the UWSOD’s campus. We wish the 14 graduates of their program great success in their new careers!
• This summer, we welcomed a talented incoming class of predoctoral students. Among the many interesting things about them: Two-thirds of the class is female, continuing the gender shift taking place across the profession; about one-half are first-generation college students; and onethird are not Washington state residents.
• We also welcomed an incoming class of MSD students and residents in our various specialty and residency programs, with PhD students beginning this fall.
• Together, we provided high-quality care to our community, totaling over 85,000 patient visits in our clinics, Service Learning Rotation sites, and through RIDE. We are exploring opportunities to provide quality care to even more patients next year.
• UW faculty had a strong presence at major research meetings this year, including the American Association of Dental, Oral and Craniofacial Research in Portland, OR, and
the International Association for Dental Research in Bogotá, Colombia.
• Our school increased extramural research funding for a third year in a row with $11.3M and counting for fiscal year 2023. This is more than a 200% increase in funding compared to fiscal year 2019.
• We welcomed two new full-time faculty members, 51 academic affiliate faculty members, and 74 classified and professional staff. One of our most valuable resources is our people, including our many affiliate faculty; dedicated colleagues without whom we simply could not accomplish all we do in education and patient care. Thank you to those of you who are affiliate faculty, and if you are not and want to learn more about that opportunity, please don’t hesitate to reach out!
• We embarked on an inclusive strategic planning process to identify priorities, goals, and actionable steps to a future that best meets the changing landscape of didactic and clinical teaching, research, and patient care. I am grateful for the input provided by WSDA leadership early in that process!
• Our self-study for the November 2024 CODA site visit is well underway, positioning us for a successful re-accreditation. This self-study process is a wonderful opportunity for all of us to think about and refine our processes, procedures, and outcomes. I am grateful for everyone’s contributions in this process.
• Our school’s advancement team had an incredible year with $4.7M raised in donations, sponsorships, and bequests. These funds support student scholarships, infrastructure improvements, serving vulnerable populations, increasing the scope of global health research, various specialty campaigns, and so much more. We want to thank all our individual and corporate donors, including WSDA for their generosity to our School and the communities we serve.
I am excited about our future and the many possibilities it will bring. There is no question that the UW School of Dentistry will continue to strengthen our relationship with the WSDA, one of our strongest partners. I invite each of you to continue our partnership and reach new heights in oral health care and education. n W
“Please join me in celebrating our collective accomplishments and looking ahead to the opportunities for continued collaboration this year.”
Greetings from Yakima and the PNWU School of Dental Medicine (SDM). I am excited to share our progress in developing our new school since our last column.
We have had a very successful few months securing needed funds to support construction on campus and at our community clinical sites. Thanks to the efforts of Sen. Curtis King, with support from legislators in both parties, the SDM has received $5 million in state funding to support the construction of our Dental Education Center on the Yakima campus. In addition, the Legislature approved $7.4 million in construction funding to support our community clinics in Kennewick and Tacoma. Thanks to Sen. King and the entire Washington State Legislature for providing this funding and demonstrating their support in addressing Washington’s dental workforce challenges.
We also had a dental licensure bill pass, SB5113, which will permit the SDM to recruit dentists as faculty who have not received a dental degree from a CODAapproved program. The bill was sponsored by Sen. Judy Warnick. These dentists will be permitted to supervise and provide patient care with the SDM’s educational program. This change will allow us to broaden our recruitment efforts when hiring dental faculty.
Our team in Yakima has also doubled in size! Drs. David Klingman, our new Associate Dean for Academic Affairs, and Robin Reinke, our new Associate Dean for Clinical Affairs, have joined us on campus, and have already immersed themselves in their respective areas, providing expanded capacity to complete the tasks necessary to establish the school.
Although we are still nearly two years away from our first students arriving on campus, the SDM must begin its recruitment of faculty and staff. In June, we started this effort by participating in the Pacific Northwest Dental Conference (PNDC) meeting, hosting a booth to provide information about our new program to prospective faculty and staff. It was a huge success, thanks to Lisa Brown, the SDM’s
Administrative Coordinator, and Tricia Gilmore, Administrative Coordinator from PNWU President’s Office, who arranged and staffed the booth. Over the next couple of months, we plan to hold faculty information sessions for interested clinicians in Yakima, Kennewick, and Tacoma. We will provide information on the positions we will be advertising and answer any questions that clinicians may have.
I want to end on the topic of partnership. The SDM has been founded on this principle – from the FQHC partners who will provide the clinical training sites to support from organizations such as WSDA and Delta Dental of Washington. Another important partnership is with the University of Washington School of Dentistry, which provided early support when the SDM was being considered. This support has only ramped up since the arrival of Dean André Ritter last year. On July 13, we hosted Dr. Ritter and the Yakima Valley Dental Society on our campus for the society’s July meeting. Dr. Ritter met with many Yakima-area UW alums and provided an update on the school. He arrived a bit before the meeting, so I could host him on a tour of our new Student Learning Collaborative building (which opened in August) and meet PNWU’s President, Dr. Michael Lawler. He and I are committed to working together, leveraging our respective programs’ strengths, to address our state’s oral health inequities through quality training and patient care.
I am excited about the opportunities and look forward to sharing our successes in the future. n W
“Although we are still nearly two years away from our first students arriving on campus, the SDM must begin its recruitment of faculty and staff. Over the next couple of months, we plan to hold faculty information sessions for interested clinicians in Yakima, Kennewick, and Tacoma.”
Dr. Fotinos Panagakos Dean, PNWU School of Dentistry
for recognition in the WSDA News, please email info@wsda.org
April 29, 1931 –June 27, 2022
Terrance (Terry)
Wesley Baker, age 91, of Bellevue, WA passed away Monday, June 27, surrounded by his loving family.
Terry was born to Wesley and Ellen Baker on April 29, 1931 in Helena, MT. He received his degree from Carroll College in 1953 and joined the US Navy. He was stationed in Guam before returning stateside to continue his education at Loyola School of Dentistry in Chicago, where he met and married Margaret Mathieu.
Terry was a Veteran of the US Navy and served his country for over 30 years. After retiring as a US Navy Captain, he opened his dental practice, Bel-Red Dental, in Bellevue, WA. He was a charter member of the Bellevue Breakfast Rotary and an avid volunteer in his community.
Terry enjoyed traveling, skiing, and crabbing with his grandchildren. Boating was a passion for him, and he was a member and Past Commodore of Queen City Yacht Club. He was a devoted husband for over 62 years, a loving father, cherished grandfather, and supportive brother and uncle.
Terry is preceded in death by his father; Wesley Baker, mother; Ellen O’Donnell Baker; and brother, Neil Baker.
He is survived by his wife; Margaret, and children; Mary Ellen Baker, Patrick Baker, Katherine (John) Weisgerber, Brenda (Jason) Taylor, and grandchildren; Paul and Lilia Cemarka, Matthew and Ryan Weisgerber, and Ethan Taylor, sister; Eileen Larson, and his many beloved nieces and nephews.
September 24, 1932 –June 11, 2023
Dr. Gale Flake, age 90, the oldest of two brothers, passed away peacefully at his home on June 11, 2023. He was born on September 24, 1932 to his parents, Helen (Moore) and Gale Flake. He attended Immaculate Conception School (Altar Boy), North Junior High (Life Scout) and Everett High School 1950 where he excelled in tennis, winning the Intramural Championship. Gale loved all sports and faithfully rooted for the Seattle Seahawks and his beloved Cougars. He also loved the outdoors and fishing, taking many flights to Wisconsin to fish with his brothers-in-law. He had a very strong workethic, and had his first job at the age of 10 as a paper carrier for The Everett Herald. He would often say he followed in the footsteps of his mentor, Senator Henry Jackson, and later in life, he was grateful for Senator Jackson’s encouragement in his appointment to the U.S. Navy. He received his Bachelor’s Degree, and was accepted at Marquette University in Milwaukee, WI, and became president of the Psi Omega Dental Fraternity. In his third year at Marquette he met his soul-mate Dolores (Dee) Loewen of Kenosha, WI. Dee invited him home for Thanksgiving and that was the beginning of a wonderful life. They were married in St. Thomas Aquinas Catholic Church on August 17, 1957, and shared six children together. After receiving his Degree in Dentistry, Gale joined the Navy, and by secret ballot he was sent to Lake Mead in Las Vegas, NV. Lieutenant Commander Gale Flake was the department head of the dental clinic, and an excellent dentist, who took pride in his work and his ability to restore teeth. Two years later he was commissioned to the USS Dixie AD14 and sent to Kyoto, Japan. In his free time he took up photography, climbed Mt. Fuji, and toured Japan on a motor scooter. He was a patriot and served three years, until honorably discharged to begin his private practice in Everett, WA where he retired at the age of 67. Gale and Dee traveled extensively, and their favorite times were with the children. Many vacations were held at their condo in Lake
Chelan and planned destination vacations from Maine to Mexico were enjoyed by all. Gale was an “under-the-radar” kind of guy, with a friendly and winning smile. He will be remembered as a loving and thoughtful husband, father, grandfather, greatgrandfather, scout, coach, fisherman and friend. He will be missed. Gale is survived by his wife, Dee; six children: Linda, David (Marcia), Robert (Lisa), Carol (Jim), Thomas and Michael (Joan). He is also survived by his seven grandchildren: Ryan, Aaron, Cameron, Emily, Ben, Ava and Samantha; his six great-grandchildren: Erik, Osker, Bentley, Payton, Chloe and Hudson Flake; one brother, George of California and many nieces and nephews. Gale’s family would like to extend a special thanks to Dr. Bradley Fankhauser, Dr. Oliver Tai [Gina and Pat], Hospice staff and Nia for their compassionate care. To honor Gale’s memory the family suggest donating to Puget Sound Kidney Center Hospice, or the charity of your choice.
Dr. William “Bill”
June 26, 1928 –May 19, 2023
Dr. William (“Bill”) Knight Norwood was born June 26, 1928, in Baltimore, Maryland, and died on May 19, 2023, in Spokane, Washington, which was his home for the past 67 years.
Bill grew up in Washington, DC, and earned a bachelor’s degree in psychology from Swarthmore College and his DDS degree from Northwestern University. He married Irene in 1953 and they moved to Spokane in 1956 after Bill completed service at Great Lakes Naval Station. Bill established his dental practice in north Spokane and practiced general dentistry for nearly 40 years. He was a strong
believer in community service and was active in the Spokane District Dental Society, the YMCA, and Country Homes Kiwanis. He served on the Mead School District Board, and volunteered with Meals on Wheels, the CHAS dental clinic, the Spokane Food Bank, and the Spokane Humane Society. After his retirement, Bill and Irene traveled extensively and had the good fortune to visit all seven continents. His favorite part of retirement, though, was being able to spend more time at Priest Lake, puttering around their home on Five Mile Prairie, and walking his dogs. Bill is remembered gratefully by his family as a loving and generous husband, father, fatherin-law, and grandfather. We will remember his stories about a summer in Labrador with the Grenfell Mission, his experiences on a ranch in Wyoming, working on the blister rust patrol in Idaho, and hitchhiking across the country. We will also fondly remember family camping trips and vacations, holidays,
and how proud he was of all of us. Bill was preceded in death by his parents, William and Mae Norwood; his sister, Elizabeth; and daughter, Phyllis. He is survived by his wife of 69 years, Irene; and his children and their spouses, Susan (Dick) Boysen, Geoff (Robyn) Norwood, Ginny (Joe) Blache, and Kathy (John) Griffith; five grandchildren and four great-grandchildren. Our family would like to express their gratitude to the staff at Riverview Memory Care for the care and many kindnesses they extended to Bill and our entire family. We would also like to thank Sage from Hospice of Spokane for her attentiveness during Bill’s final days. In lieu of flowers, memorial gifts can be made to the Spokane Humane Society or Second Harvest Food Bank.
EXCELLENT OPPORTUNITY FOR AN EXPERIENCED ASSOCIATE TO OWN POSITION
Jul 21, 2023
Growing practice in Arlington/Smokey Point. 5 op practice grossing 800K with unlimited potential. Minimum $12k a month with far more potential.
Contact Paul at (206) 909-3863 or email prsauvage@ gmail.com.
FAMILY DENTAL PRACTICE IN CAPITOL HILL, SEATTLE SEEKING AN EXPERIENCED, ENERGETIC ASSOCIATE TWO DAYS/WEEK
Jul 21, 2023
The primary goal of our tight-knit team is to treat patients with excellent dental care in a comfortable, relaxed, and friendly environment. Compensation is based on production. 3 year minimum experience is required. This is a busy, fast-paced practice, and so sufficient experience and speed is imperative. Procedures are almost exclusively restorative. Most RCT and extractions are referred to specialists, but all the necessary equipment is on hand for someone interested in performing those procedures. Interested, qualified candidates, please email your resume and cover letter to sullivant100@gmail.com. We look forward to hearing from you!
SEEKING AN ASSOCIATE THAT LOVES DENTISTRY AND WANTS TO PURSUE A PATH TO PRIVATE PRACTICE OWNERSHIP
Jul 12, 2023
We have a growing, high-performing office that is located in Silverdale. Our practice values excellent chairside manner and dental work done with pride. The practice currently has 8 chairs and 1 doctor. The position is 4 days/ week.
Please submit resume and cover email to gillespie.kasey@ gmail.com.
LOOKING FOR GENERAL DENTIST TO WORK EXCLUSIVELY WITH KIDS IN MARYSVILLE, WA
Jul 11, 2023
PT - Mondays are readily available. Fridays could work, and possibly another day. Must be willing to take CE courses for Invisalign. Learn under the tutelage of a pediatric dentist to be able to treat kids in modern office. Will need to learn conservative alternative approaches like SMART fills, hall technique, SDF in addition to traditional treatment. Can refer out the younger kids to in-house pediatric dentists. Min $1,000/day + percentage.
Email: drlucasdds@gmail.com
APPLE VALLEY DENTAL & BRACES HAS AN ASSOCIATE DENTIST OPPORTUNITY IN A BEAUTIFUL MULTI-SPECIALTY PRIVATE PRACTICE
Jul 6, 2023
Great compensation – Starting Salary at $225,000 to $300,000 based on experience. Tiered Bonus System, Mentorship Opportunities to learn new skills. (Dentists in network making $500,000) Great opportunity for new Grads to learn your craft side by side with generalists and specialists, BBB “Best Benefits Bundle”– Medical, Vision, Aflac, In-house Dental, Oral Surgery and Orthodontic Benefits, Signing Bonus $30,000, Moving Allowance up to $10,000, Paid Time Off, License Reimbursement, Continuing Education Stipend, State of the art clinics and equipment, Mix of children and adult dentistry, Mix of State and private insurance, Apple Valley Dental & Braces is located in beautiful Washington State, where there’s 300+ days of sunshine, beautiful scenery, tons of outdoor recreation, and family friendly communities, High Quality of life with low cost living! recruiting@applesmiles.com
DENTAL HYGIENIST OPPORTUNITY
Jun 28, 2023
Progressive practice that emphasizes good home care. Our patients love us!
Please send resume to carol@dentistrynorthwest.com.
SEEKING PART-TIME ENDODONTIST FOR THRIVING GENERAL DENTAL PRACTICE
Jun 28, 2023
We are a growing multilocation practice in the Spokane, WA area looking for a qualified endodontist to come a couple days a month, or more, as our need continues to grow. Competitive compensation and we have the availability to work around your schedule.
Please email a resume and I look forward to hearing from you soon! Please contact me at: ryan@ spokanefamilydental.com
FULL-TIME OPPORTUNITIES AVAILABLE FOR A DENTIST TO JOIN OUR PRACTICE IN OLYMPIA AND IN CHEHALIS, WA
Jun 27, 2023
Valley View Health Center is one of the fastest growing Community Health Centers in SW Washington. Our ideal candidate is a motivated individual with great communication skills, patient oriented with a high standard of care. Must be comfortable with all aspects of dentistry; 3-5 years experience as a dentist preferred. Must have current Washington State Dental License and DEA. Salary: General Dentist $163,640-$178,640 DOE and Pediatric Dentist $128.53-$135.74 DOE.
Send CV to lwohld@vvhc.org.
FULL OR PART TIME ENDODONTIST NEEDED TO JOIN BUSY, MODERN PRACTICE IN DOWNTOWN SEATTLE
Jun 15, 2023
CBCT, microscopes, Edge Pro Laser etc. Excellent referral base with mostly primary treatments. Partnership opportunities available. Contact brett.nydegger@gmail.com.
ASSOCIATE AND SPECIALISTS NEEDED
Jun 8, 2023
Any days Tuesday- Friday. Work as much or as little as you want. Modern spacious thriving practice with room for growth in beautiful Skagit County.
Email: toothcaredr@gmail.com
WILLAMETTE DENTAL GROUP SEEKS PART TIME ORTHODONTIST IN BELLINGHAM, WA
Jun 8, 2023
Offering in-house patient referrals, annual guarantees, performance incentives, and great benefits! Expected minimum compensation is $90k, typical pay range between $90kto $100k.
If interested, contact Jamie Brochis jbrochis@ willamettedental.com.
SMILE SURFERS KIDS DENTISTRY IS SEEKING A FULL-TIME PEDIATRIC DENTIST FOR OUR PRACTICES IN KENNEWICK AND RICHLAND, WA!
May 26, 2023
New grads welcome! What we offer: Current or future board certification, Partnership encouraged, Mentorship, Soft Tissue Laser Technology. Competitive compensation: 4 days/ week, BONUS opportunity 401k, medical (S1200 monthly stipend), paid CE opportunities, license coverage (state, DEA), dues (ADA, AAPD, ABPD), will reimburse travel and expenses for board certification. In this position, you’ll works along with a restorative hygienist who administers local anesthetic, restores all fillings, seats space maintainers and scaling. Education/Skills/Experience:
Doctor of dental surgery (DDS) or Doctor of Medicine in dentistry (DMD) Certificate of Completion of pediatric dental residency. State license to practice dentistry State moderate sedation permit PALS & BLS certification. Use Nitrous Oxide Treat patients under General Anesthesia in clinical and hospital settings.
Interested? We’d love to meet you! Please send updated resume to sarahwright1324@gmail.com.
ASSOCIATE TO OWN POSITION
Apr 24, 2023
Associate to Own Position in this growing practice in North Seattle. Be mentored in the practice with a potential to buy in as a partner or full owner. Contact Rod Johnston at rod@omni-pg.com.
DENTIST AND DENTAL ASSISTANT POSITIONS
AVAILABLE
Apr 21, 2023
We provide whole-person care for patients that have nowhere else to turn for their needs due to significant barriers to care.
Learn more and apply at our career center: https://yugm. org/employment/
PRIVATE PRACTICE IN YAKIMA, WA SEEKING A FULL TIME GENERAL DENTIST ASSOCIATE
Feb 23, 2023
We are a well-established, productive, fee-for-service, private practice. Our modern, 11 operatory office has over 6,000 square feet located on the banks of Myron Lake with amazing views from every operatory. The office is equipped with the latest technology: digital radiography, intraoral cameras, cad/cam Cerec technology and a 3D printer. We are looking for someone with a gentle touch, who is compassionate, and has good communication skills. The ideal candidate must enjoy working as an integral part of our team to improve and maintain the dental health of our patients. We provide all aspects of general dentistry. We offer a healthy benefits package and the number of work days per week is negotiable. Compensation is based upon experience. Enjoy living in beautiful Central Washington, tour the local wineries and craft breweries, and experience year-round outdoor activities.
Please forward your CV to kailani@lakesidedentistryyakima.com.
WILLAMETTE DENTAL GROUP SEEKS FULL TIME DENTIST IN TACOMA, WA
Jan 10, 2023
Offering in-house patient referrals, annual guarantees, performance incentives, and great benefits! Expected hire-in range from $165k - $175k, depending on experience, with an earning potential range from $165k - $185k. If interested, contact Jamie Brochis jbrochis@ willamettedental.com.
MAPLE VALLEY DENTAL PRACTICE FOR SALE
4 OPS
Aug 1, 2023
Legacy practice spanning back to 1990 has built a loyal and diverse patient base. Sharing a building with another medical professional makes this dental practice a hub for comprehensive healthcare needs. Family owned CRE will be available in the future to purchase. Average collections $672K, hygiene/diagnostic 60%. $595,000.
Contact Knutzen-McVay Group at jessica@tkmgllc.com. (W993)
NORTH IDAHO DENTAL PRACTICE FOR SALE
7 OPS
Aug 1, 2023
Well-established practice in standalone building. Average collections $1.5M, Hygiene/Diagnostic 41%, Dentrix, Dexis imaging, digital x-rays, Pano. Lending-friendly lease. Seller offering first right of refusal on future building purchase.
$1,400,000.
Contact Knutzen-McVay Group at jessica@tkmgllc.com. (ID973)
ARE YOU TIRED OF BEING MICROMANAGED AND STRUGGLING DAILY JUST TO MAKE SOMEONE ELSE RICH?
Jul 27, 2023
But are you also hesitant about getting into more debt by buying an expensive practice that may not have the existing staff, equipment, or numbers that you really want? This is your chance to get into ownership, gain freedom, and make YOUR OWN dreams come true. I’m relocating and selling my space in Lakewood that’s built just right for a start-up. Under $90K OBO (in a great location with super low rent) to start your new path! Low risk, high reward.
Text me for more info. Anthony 206-349-0822.
WELL ESTABLISHED ARLINGTON PRACTICE WITH UNLIMITED POTENTIAL AVAILABLE
Jul 21, 2023
Well established Arlington/Smokey Point practice grossing 800K with unlimited potential. All specialty procedures (Ortho, Endo, Extractions) are referred out. 5 op single standing building with 30 parking spots on very busy road with 60,00 cars passing by daily. Electronic digital sign on the street. Hurry! This won’t last long!
Contact Paul at (206) 909-3863 or email prsauvage@gmail.com.
Jul 18, 2023
Great opportunity poised for growth located in South Puget Sound area. Collecting $571k. 4 Computerized operatories possible for 5.w/ Adec chairs. Digital radiography, Cone Beam, Diode Laser, Rotary Endo, Diagnodent & Nitrous. Datasystem NW Software. Refers out: Most Endo, Ortho, Implant, and difficult Oral Surgery. Private Office, Lab, Sterilization Rm., Staff Room, 2 Restrooms & 1 Private Dr. Restroom apx. 1400 sq/ft. Real Estate available to purchase. For more information contact Karrie or Sam at (425) 216-1612 or email transitions@cpa4dds.com.
UNIVERSITY PLACE SPACE FOR LEASE
Jul 17, 2023
Beautiful new build out. Located near Lakewood, Fircrest, Tacoma and Gig Harbor. Private practice space available is 1200 square feet. 4 operatories, doctors lounge, break room, and storage space. Common space shared with adjacent endodontic group. It includes the lobby and reception area, patient’s waiting facilities and staff lounge. Lease terms negotiable.
Call 240-381-4065.
Jul 17, 2023
Turnkey practice and prime CRE available now in Southeast Seattle! This well-established gem has been catering to the community for 30+ years. 4 equipped ops and 2 unequipped. Average annual collections over $912K. Digital x-rays, Pano/ CBCT, CEREC system, Practice Works software. Experienced team in place! Practice offered at $855,000. Contact Knutzen-McVay Group at jessica@tkmgllc.com. (W763)
Jul 17, 2023
Outstanding New and Beautiful General family w/ Implant dentistry practice w/ complete remodel in 2020. Collecting $1.44M working 5 days/week. Fantastic Cash Flow. 5 fully-computerized operatories w/ Adec chairs, Computer and TV in 5 Ops + 2 more Ops plumbed. Chartless, digital radiography, CBCT, Digital Sensors, Dentrix Software, Implant motor, Electric Handpieces, Rotary Endo, Intra Oral Cameras. Private Office, Consultation Rm, Sterilization Rm, Pano Room, Staff Break Room, Laboratory, 2 Restrooms, Laundry Rm, Ample Storage, Terrance Patio. Refer Out: Molar Endo and Some Implants Approx. 3000 sq/ft.: 2700 sqft Office (Main level) & 300 sqft mechanical room (ground level)
For more information contact Karrie or Sam at (425) 216-1612 or email transitions@cpa4dds.com.
GENERAL PRACTICE FOR SALE: SOUTH
PUGET SOUND
Jul 17, 2023
Nice Growth opportunity located in South Puget Sound area. Collecting $473k and growing on just 3 days/week. 4 fully computerized operatories. Pelton Crane chairs. Digital radiography, Digital Pano, Tiger View radiograph imaging software, Intra Oral Camera, Diagnodent. Office Partner Software by Office Computer Systems. Refers out: Endo, Oral Surgery & Implant Placement. Lab Rm. Sterilization Rm. Private offices. Staff Rm. Pano Rm, Ample storage, 2 Restrooms apx. 1728 sq/ft. Real Estate available to purchase.
For more information contact Karrie or Sam at (425) 216-1612 or email transitions@cpa4dds.com.
DENTAL PRACTICE FOR SALE SOUTH EVERETT
Jul 13, 2023
Well established 5-6 op general practice collects over $1.5 million. Strong hygiene program with long-term supporting staff. Prequalified buyer only. Email scdental-1@comcast.net.
GENERAL PRACTICE IN UNIVERSITY PLACE FOR SALE
Jul 11, 2023
Great location in the south sound. This 3op practice is well equipped, beautifully designed and space for expansion. Ideal for start solo, satellite office or relocation. Price is negotiable.
Please call or text 253-241-0659.
SNOHOMISH GENERAL DENTAL PRACTICE
Jul 10, 2023
Snohomish General Dental Practice with annual collections over $300,000. 3 fully-equipped ops with option to lease an adjoining vacant office which would give you up to 7 total operatories. Located in a family friendly residential area near local schools and shopping. Seller willing to work back 1-2 days/week if needed. Implants and molar RCT referred out. Ample patient parking.
Contact frank@omni-pg.com or call 425-985-8390.
(WAD496)
HIGH VISIBILITY LYNNWOOD TURN-KEY DENTAL OFFICE FOR SALE
Jul 10, 2023
This is a turn-key dental office ready for you to move in. The office was built in 2014 and currently has 4 fully operational ops and is built out for 9 ops, possibly 11 ops if you adjust the consult rooms. Featuring a waiting room, reception, doctor’s office, consult room, office, 9 plumbed ops, lab, pano room, sterile, breakroom, and back exit. There is a 5-year lease with a rent of $5,700 per month. This office is along HWY 99 in North Lynnwood with excellent access,
parking, and visibility. NO PATIENTS. The sellers moved to a purchased building. Asking $350,000.00 Inventory and location are available upon signed Omni NDA.
Contact Steve Kikikis Steve@omni-pg.com or 425-9056920. (WAR170)
DENTAL PRACTICE & CRE FOR SALEOLYMPIA, WA
Jun 30, 2023
Well-established 5 op general dental practice and commercial real estate available now! Seller has stellar reputation and is eager to transition both the practice and 1,900 sq ft building together. Practice has been serving the Olympia community for 51 years. Avg collections $576K, hygiene/diagnostic 57% of gross production, Gendex digital x-ray, digital pano, DSN software. Practice offered at $407,000.
Contact Knutzen-McVay Group at jessica@tkmgllc.com. (W783)
IMMEDIATE OPPORTUNITY TO ACQUIRE AN ACTIVE DENTAL PRACTICE IN OLYMPIA, WA
Jun 28, 2023
This practice is a second office location but the owner doctor cannot continue to work it due to length of commute and his main office duties keeping him from working more days. Fully equipped 5 ops with a private surgical suite ready to be equipped if needed. The current lease has two years remaining with options to extend. Beautiful location with great view. Great potential if owner can work more than 1 day per week. This is an opportunity that doesn’t come around often and will go quickly.
Call or text Chad @ 360-270-9257.
COASTAL WA STATE GENERAL DENTAL PRACTICE FOR SALE
Jun 28, 2023
Profitable general dental practice for sale in Washington’s Beaches Region, offering natural beauty and small-town charm. Established practice with strong community reputation and consistent word-of-mouth referrals. Great potential for growth by increasing operating hours. Enjoy scenic views and outdoor activities in this coastal community.
Contact Bailey Jones at bailey@professionaltransition.com or 719.694.8320. reference #WA31622.
SEATTLE, WA GENERAL DENTAL PRACTICE FOR SALE
Jun 28, 2023
Thriving general dental practice for sale near downtown Seattle, offering easy access to the city’s attractions. Features 4 fully equipped operatories with room for expansion. Opportunity for growth with current 3-day schedule. Collections of $1 million and $285,000 in SDE. Contact Bailey Jones at bailey@professionaltransition.com or 719.694.8320. reference #WA031721.
THRIVING DENTAL PRACTICE FOR SALE IN CENTRAL WASHINGTON STATE
Jun 28, 2023
3,000 active patients and consistent growth through word-of-mouth referrals. Spacious facility with 7 modern operatories and included real estate. Profitable and ideal for aspiring or expanding dentists. Collections of $2.081M. Enjoy the region’s natural beauty, outdoor activities, wine region, and vibrant community.
Contact Professional Transition Strategies for more details: BAILEY@PROFESSIONALTRANSITION.COM or 719.694.8320. Reference #WA61423.
MEDICAL OFFICE, EASILY CONVERTIBLE TO 4 OP DENTAL, FOR LEASE IN BELLEVUE
Jun 17, 2023
Next to Microsoft. Dental lab in the building with 4 other dental offices. Great for specialists or general dentists. Contact: caringdentistry1@gmail.com (425)658-6758
SPOKANE VALLEY GENERAL PRACTICE, GREAT LOCATION-CLOSE TO LIBERTY LAKE AND FANTASTIC OUTDOOR RECREATION!
Jun 17, 2023
5 fully equipped ops, all digital, nitrous, Dentrix. Specialty procedures referred out. Strong hygiene program. Sole occupant 2390 sq.ft. stand-alone building on 1 lot with additional lot for expansion available, for sale or lease with option to purchase. Excellent exposure. Annual collections 870-900K, annual income 390-410K. Practice offered for sale at 880K. Seller flexible with transition.
Contact (509)255-9359.
WELL ESTABLISHED PRACTICE WITH REAL ESTATE IN CASCADE FOOTHILLS
Jun 5, 2023
30 minute drive to Seattle. Small town quality of life in a beautiful setting with loyal patient base. Many procedures are referred out so a lot of growth potential.
Contact Frank@omni-pg.com or call 425.985.8390. (WAD498)
NORTH SEATTLE MEDICAL BUILDINGFOR SALE
Jun 5, 2023
Beautifully just renovated mid-century modern medical office in North Seattle’s Broadview/Bitter Lake. neighborhood The building features three entry/exits, 9 private office spaces, waiting area, reception, doctors office, three restrooms (one ADA restroom), storage, mechanical room, courtyard, and 8 parking stalls. The courtyard is wrapped by a new deck and brings a peaceful natural landscape to the building. The building is 3,010 Sq. Ft. The lot is 8,276 Sq. Ft. Redevelopment would be the highest and best use of the site. Zoning would allow for Multi-family High Density. The site would work great for a medical/dental office, veterinary office, general office uses, restaurants, and much more. $2,199,000.00.
For more information contact Steve Kikikis at steve@ omni-pg.com or 425-905-6920. (WAR164)
Jun 5, 2023
Well established general dental Marysville practice for sale. Great location in the middle of town. Easy access with a nice parking lot available on site. Beautiful building with great visibility from the street.
Contact Frank at frank@omni-pg.com or 425-985-8390.
(WAD486)
GREAT OPPORTUNITY IN SEATTLE!
Jun 5, 2023
Downtown Seattle is back! Residents have returned in pre-pandemic numbers. Tourism resembles its crowded former self, traffic is nearly as awful as it was in 2019, and Amazon workers are officially back to the office! This downtown general dental practice offers over 2,400 square feet, 7 fully equipped ops., beautiful views with oversized windows throughout and less than a 5 minute walk from Amazons Tower II Building. 3 Hygienists operating double hygiene 4 days a week! Steady collections over $1M with over $300K in net income! Offered at only $785K!
For more information on this amazing opportunity, please contact Jen Bennett at jen@omni-pg.com or 206-6838966. (WAD425)
Jun 5, 2023
Great location to get your feet wet and grow this long-term practice. Refers out endo, perio, and pedo. 5 ops and pano in 2500 sq ft.
Contact megan@omni-pg.com, 503-830-5765. (WAD492)
OFFICE SPACE FOR LEASE 1250 SQ FT DENTAL OFFICE FOR LEASE IN KENT, WA
May 31, 2023
Newly remodeled clinic with 4 operatories, ample on-site parking. Off Hwy 167 in a building with dentist, Ortho, and Endo. No existing patients/charts or equipment. Good for startup or small practice, possible Perio. Rent/NNN competitive for the area, on street with high traffic volume. Email: rmcnamara25@yahoo.com.
UPDATED MEDICAL OFFICE FOR RENT IN OLYMPIA
May 31, 2023
Near hospital and bus routes. 1500-3000 sqft, $22/ sqft, negotiable. Reception areas, handicap-accessible bathrooms, consultation office, procedure room and 4 exam rooms.
Contact thfwoly@gmail.com.
ORTHODONTIST OFFICE ON AFFLUENT VASHON ISLAND
Apr 25, 2023
Turnkey. All equipment in place, 4 operatories. There is no other orthodontist on the Island. 910 square feet, $3,000/ month includes triple net (doesn’t include internet).
Ask for Scott (206) 250-3427
BELLEVUE - PRIME OFFICE SPACE AVAILABLE FOR LEASE
Apr 24, 2023
Prime office space available for lease in beautiful Bellevue building. A little over 120 square feet. Great for counselor, real estate, or other one, two, or three person office. Lease amount approximately $38.26/sq. ft. (CoStar). Traffic volume 12,874 per day.
Contact Rod Johnston at rod@omni-pg.com. (WAD488)
BELLEVUE - TWO OPS AND DOCTOR’S OFFICE FOR LEASE
Apr 24, 2023
Two ops and doctor’s office for lease in Bellevue. Formerly occupied by a Periodontist. Ops include chairs, lights and more. Great for a specialist. Located in an orthodontist office in a beautiful building. Shared front desk space. Contact Rod Johnston at rod@omni-pg.com. (WAD490).
MONTANA DENTAL PRACTICE FOR SALE
Apr 21, 2023
Private, fee-for-service practice in Northwest Montana lake community. Please, no broker, DSO or group practice calls. Call (406) 250-9496 to leave a message. Thank you.
Mar 27, 2023
High visibility 3 op hygiene driven practice situated on main thoroughfare, surrounded by numerous retail plazas and housing. 2022 collections $693K, 2022 annual income $223K, Hygiene/Diagnostic 60% of production revenue. Digital charts, Medit i500 digital impression scanner. Private op/surgical suite, private doctor office, on-site laundry. $508,000.
Contact Knutzen-McVay Group at jessica@tkmgllc.com. (W393)
GENERAL PRACTICE FOR SALE:
NORTH SEATTLE
Mar 22, 2023
Great location-Near Light Rail- Collecting $1.2m+ on 4 days/week. Turn-key systems with shared overhead and supply costs, Family Practice providing Comprehensive care, State of the art, Excellent urban general practice w/ great opportunity for Growth. 6 fully-equipped Computerized Ops w/Adec Chairs and Cabinetry w/ TV’s in each Op (3 shared with potential for 9 Ops). Dentrix Software, Chartless, Digital radiography, Electric Handpieces, VELscope, Wand (Anesthetic), Intra Oral Cameras & Nitrous. Private Office, Sterilization room, Lab, Consult room, 2 Restrooms, apx. 4238 sqft. (Shared Rent) For more information contact Karrie or Sam at (425) 216-1612 or email transitions@cpa4dds.com.
SOUTH SEATTLE LONG-ESTABLISHED GENERAL DENTAL PRACTICE
Mar 10, 2023
Long-Established General Dental Practice in South Sound. Gross Collections of approximately $1 million. 4 hygiene days per week. Ample patient parking. Four Operatories. Contact Frank at frank@omni-pg.com. (WAD474)
FRIDAY HARBOR, SAN JUAN ISLAND DENTAL OFFICE FOR SALE
Mar 10, 2023
Newer build-out and equipment. Plumbed for 6 ops and equipped with 3 chairs. This is a once in a life time opportunity to open the office of your dreams on San Juan Island. This is a fully turn-key dental office ready to run. There are no patients associated with the office. The building is for lease and possibly for sale.
Contact Steve at steve@omni-pg.com or 425-905-6920. (WAR166)
PROFITABLE DOWNTOWN SEATTLE PRACTICE WITH 50 YEARS GOODWILL
Mar 10, 2023
Extremely Profitable Downtown Seattle Practice with 50 years goodwill. $1.2MIL collections with over $500K in net profit. Seller refers out all endo, oral surgery, ortho. Only bread and butter dentistry being completed. Plenty of room for growth.
Contact Frank at frank@omni-pg.com or 425-985-8390. (WAD479)
GROWING SNOHOMISH COUNTY GENERAL DENTAL PRACTICE
Mar 10, 2023
Great growing general dental practice in a busy, major grocery store in Snohomish County. Annual collections of $780,000 with low overhead. Five operatories in 1,650 square foot space with newer build out and equipment. Great potential to continue to grow in this busy location in a booming community.
Contact Frank at frank@omni-pg.com or call 425-9858390. (WAD484)
DOWNTOWN SNOHOMISH GENERAL DENTAL PRACTICE
Mar 10, 2023
New General Dental Practice in Snohomish. Four operatories located next to restaurants in downtown Snohomish. Practice is less than 1 year old. Seller moving out of state.
Contact Rod at rod@omni-pg.com (WAD467)
*visit knutzenmcvaygroup.com for most up to date
WASHINGTON
Monroe | $922,000 | #W172
Freshly updated 5 ops, new CBCT system, CEREC, digital x-rays, digital Pano/Conebeam. Avg annual collections $1M, avg annual income $476K. Large staff lounge, private office, lab/ sterilization room. Hygiene/Diagnostic average 33% of production revenue. Hygiene booked out 6+ months. Dedicated team in place!
Southeast Seattle $855,000 | #W763
Turnkey practice and prime CRE available! This well-established gem has been catering to the community for 30+ years. Practice has 4 equipped ops and 2 unequipped. Avg annual collections over $912K. Digital x-rays, Pano/ CBCT, CEREC system, Practice Works software. Experienced team in place!
Everett / Mill Creek Area $508,000 | #W393
High visibility, 3 op hygiene driven practice situated on main thoroughfare. 2022 collections $693K, 2022 annual income $223K. Hygiene/ Diagnostic average 60% of production revenue. Digital charts, Medit i500 digital impression scanner, Eaglesoft software. Private operatory/ surgical suite, on-site laundry, private doctor office.
Olympia | $407,000 | #W783
Well-established 5 op practice and CRE available! Seller has stellar reputation and is eager to transition both the practice and 1,900 sq ft building together. Practice has been serving the Olympia community for 51 years. Avg collections $576K, hygiene/diagnostic 57% of gross production, Gendex digital x-ray, digital pano, DSN software.
S.Seattle / Burien Area | $290,000 | #W343
Long established 4 op practice has been owned by Seller for over 40 years. Loyal and dedicated staff and patients. Hygiene/Diagnostic average 51% of gross production. 2022 collections over $500K, DSN software, Windows 10. Street front signage, ample parking. Seller refers out complex surgery cases and all ortho.
PENDING
Lake Stevens
Lynnwood
Kent
Yakima
Seattle
Lewis County
Pierce County
Mar 10, 2023
Beautiful and highly profitable dental practice for sale in East Vancouver. 2022 collections over $1.7M. Newer equipment in 5 ops, 2200 sq ft. Surgical implants being done, difficult OS referred out. Dentist is relocating out of state.
Contact megan@omni-pg.com or 503.830.5765. (WAD480)
14 OPERATORY DENTAL OFFICE FOR LEASE IN LYNNWOOD
Mar 10, 2023
This is an excellent location in the heart of the Puget Sound between Seattle, Bellevue, and Everett. The suite features 14 plumbed dental operatories, waiting area, reception, private out desks, consult rooms, large sterile, lab, mechanical/gas rooms, staff lounge, x-ray, doctors offices, managers office, restroom, storage, shared hallway restrooms, and more. Convenient location off of I-5 and Highway 99. Near mall, convention center, transit center and future light rail hub. This office is ready to take on any high capacity dental office needing more space. Well suited for other medical uses and office uses. Abundant parking and signage available. 4,700 Sq. Ft.
Contact: Steve Kikikis steve@omni-pg.com | 425-9056920 (WAR168)
5 OPERATORY DENTAL OFFICE FOR SALE IN REDMOND TOWN CENTER
Mar 10, 2023
This is a fully turn-key dental office ready to run. There is potential for a 6th operatory. There are no patients associated with the office. The space is for lease and the assets for sale. This will be an assignment of the existing lease. The current lease is roughly $8,000 a month plus your water expenses. The asking price on the assets is $275,000. Shared restrooms in the building and plenty of parking in the multi-level garage. Inventory list is available upon request. This is an office space within the Redmond Town Center.
Contact Steve Kikikis 425-905-6920 or Steve@omni-pg. com (WAR169)
Mar 10, 2023
Doctor will review all offers. This practice is in a great location with good visibility with over 30,000 cars per day driving by. Annual collections over $300,000. Four plumbed operatories. The seller has been slowing down and wants to retire. There is a fifth operatory that is plumbed and ready to go. The Practice is located next to Arena Sports with hundreds of members. If you’re looking for a practice North of Seattle that is in a great location poised for growth at a great price, this is it. To build out a space like this would cost over $500,000.
Contact Frank Sciabica, DDS at 425.985.8390 or frank@ omni-pg.com. (WAD462)
Mar 10, 2023
Bellevue General Dental practice for sale. Located in the heart of the tech community on the eastside. Near Microsoft, Google, Facebook, and other tech companies. Three operatories, lots of parking, and great staff. Annual collections of $800,000. Endo and ortho referred out. Strong hygiene program. Great bread and butter practice! Contact Frank at frank@omni-pg.com or call 425-9858390. (WAD432)
Feb 7, 2023
Newly updated and modern practice with 4 total ops in heart of town. Perfect opportunity for a second location/ satellite practice. Practice open 3 days/week. Hygiene booked out 6 months. $100,000. Motivated seller!
Contact Knutzen-McVay Group at jessica@tkmgllc.com. (E203)
DENTIST PRACTICE
Jan 23, 2023
Four operatory practice located in a professional office building in Tukwila/Southcenter. Better than turn-key office is fully equipped ready for growth. Annual collections of approximately $200,000 in growing location. PRICE REDUCED BY 50%.
Contact Rod at 206-979-2660 or rod@omni-pg.com (WAD477)
GENERAL PRACTICE FOR SALE: BELLINGHAM
Jan 20, 2023
Great general family and implant dentistry practice with Excellent views. Collecting $800k working 4 days/week. Excellent Cash Flow. 7 Ops with potential for 8 Ops. Fully computerized, chartless, digital radiography, Eaglesoft Software. 3Shape Scanner, Electric Handpieces, Rotary Endo, Intra Oral Camara, and Nitrous. Adjunctive Services include Oral Conscious Sedation, Ortho, TMJ Therapy and Sleep Apnea. Refer Out: Molar Endo, Difficult Ortho, and Difficult Ext. Approx. 2200 sq/ft. + (300 sq/ft basement) with option to own Real Estate.
For more information contact: Karrie or Sam at (425) 216-1612 or email transitions@cpa4dds.com
GENERAL PRACTICE FOR SALE: SOUTH PUGET SOUND
Jan 20, 2023
Fantastic practice conveniently located adjacent to several communities and in a beautiful location. Collecting $805k. 5 Ops Fully computerized, mainly chartless w/Dentech chairs. Digital radiography. Nomad Portable Xray, Schick Sensors, Pano, CEREC, MCXL Milling Machine and Vivadent Programat CS Staining Oven, Electric Handpieces, Implant Motor, Dentsply Cavitron, Diagnodent, Digidoc Cameras and N20. Referral Given: Molar Endo, Ortho & Implant Placement/3rd Molar Extractions. Approx. 2062 sq/ft
For more information contact: Karrie or Sam at (425) 216-1612 or email transitions@cpa4dds.com
Dec 23, 2022
OFFICE SPACE
Landlord Rep Lease space 1766 SF. Newly built out office space 1,716 SF featuring open entry waiting/reception area, large conference room/office, four private offices, kitchenette, restroom, and storage. Plenty of parking. Excellent location for medical uses and/or office users. Right off of Hwy 99 at the Seattle Scottish Rite building. Contact Steve at steve@omni-pg.com or 425-905-6920. (WAR165)
Dec 23, 2022
Excellent dental start-up. Fully equipped turn-key practice 4 ops, shell space. No patients. South Seattle location. Contact Rod Johnston at 206-979-2660 or rod@omni-pg. com (WAD476)
GENERAL DENTAL PRACTICE FOR SALE20 MINUTES FROM DOWNTOWN BELLEVUE
Nov 22, 2022
South King County General Dental Practice for Sale 20 minutes from Downtown Bellevue. Gorgeous, updated high-end practice with 6 fully-equipped ops and 2 additional plumbed ops. Excellent location. Over $2 mil in production YTD. Practice is in a professional medical complex with easy access and ample parking. Lease effective through November 2029 with two 5-year renewal options.
Contact Rod Johnston at rod@omni-pg.com or call 206-979-2660. (WAD473)
DENTAL MEDICAL OFFICE SPACE IN SMOKEY POINT WASHINGTON
Nov 2, 2022
In Arlington, 3024 sq ft for Lease Build for 5 chairs and more.
Contact Jun at junryuc21@gmail.com or 206-200-8668.
WELL-ESTABLISHED NORTH SEATTLE GENERAL DENTAL PRACTICE
Oct 21, 2022
Busy and flourishing general dental practice. Five fullyequipped operatories, digital x-rays, gracious front desk area. Long-term, loyal staff. 20–25 new patients per month. $950K in collections in 2021. Good location, high traffic area with signage. Parking underground for staff. 2,000 square feet with adjoining apartment currently used as a staff lounge. Lease includes adjoining apartment. Contact frank@omni-pg.com or call 425-985-8390. (WAD428)
ONE OF THE FEW PLACES YOU CAN BE THE ONLY DENTIST IN TOWN!
Oct 21, 2022
Practice and real estate for sale in Cowlitz County. Collections in 2021 were 1.3mil. Adjusted net profit 500K. State-of-the-art practice, 8 ops, CBCT. Real estate 6800 sq ft built in 2010. Immaculate condition! Seller willing to stay for transition.
Contact Frank Sciabica at frank@omni-pg.com, 425-9858390. (WAD465)
BELLINGHAM GENERAL DENTAL PRACTICE FOR SALE
Oct 21, 2022
5 fully-equipped ops. Beautiful office located in a rapidly growing area and a nature enthusiast’s dream. Year-todate collections $340,747 as of August 31st. Practice is in a professional office complex with ample off-street parking. Lease effective through December 2023 with up to three renewal options of five-year terms.
Contact Rod Johnston at rod@omni-pg.com or call 206-979-2660. (WAD464)
2 GENERAL PRACTICES FOR SALE: OKANOGAN COUNTY
Oct 21, 2022
Two General practices available together in rural Okanogan County along the beautiful Okanogan River. Collecting $664,000. 5 and 3 fully equipped operatories respectively in each practice. Computerized ops w/ digital x-rays. Potential growth as endo, perio surgery, Ortho, Implant and some oral surgery are referred out.
For more information please contact: Karrie or Sam at (425) 216-1612 or Transitions@cpa4dds.com.
1200 SQ FT BUILDING IN BEAUTIFUL RURAL AREA NEAR CA
Sep 2, 2022
Good for dental, veterinarian, healthcare, or other business. Contact Megan Urban for information: 503-830-5765; megan@omni-pg.com. (OR104)
DENTAL, MEDICAL, VETERINARY BUILDING FOR SALE ON MAIN STREET
Sep 2, 2022
2784 SF, 4+ ops. On-site parking. Dental lab currently renting basement. Upstairs could potentially be rented out as office space or ADU.
Contact Megan@omni-pg.com, 503.830.5765. (ORR105)
TURNKEY DENTAL OR ORTHODONTIST OFFICE BUILT-OUT IN 2005 LOCATED IN THE HEART OF BALLARD, WA
Aug 1, 2022
Signage, parking garage, and open street parking. Built for 3 ortho ops, has a waiting room, reception, ortho x-ray room, restroom, consult, staff room. This space will save you $350k and 6 months of build-out time.
Call ASAP - Steve Kikikis 425-905-6920; steve@omni-pg. com. (WAR161)
GENERAL PRACTICE FOR SALE: BAINBRIDGE ISLAND
Jul 22, 2022
Beautiful practice centrally located in the vibrant core of Puget Sound! Collecting $732k. 5 fully-computerized operatories. Belmont chairs. Digital Records. Digital radiography and Pano. Primescan Scanner. Rotary Endo. Nitrous. Intra-oral cameras. Dentrix Software Refers out: Endo, Ortho, 3rd Molar Extractions. Lab/sterilization. Private office. Staff Room. apx. 1900 sq/ft.
For more information contact: Karrie or Sam at (425) 216-1612 or email transitions@cpa4dds.com.
GENERAL PRACTICE FOR SALE: OLYMPIC PENINSULA
Jul 22, 2022
Excellent opportunity poised for growth located in a waterfront community of the Olympic Peninsula area. Collecting $779k. 5 fully-computerized operatories possible for 7. Adec and Royal chairs. Digital Records. Digital radiography. Rotary Endo. Rootzx. Nitrous. Eaglesoft Software. Refers out: Endo, Perio, Ortho and Oral Surgery. Lab. Two Sterilization Rooms. Two Private offices. Staff Room. 3 Restrooms apx. 2600 sq/ft.
For more information contact: Karrie or Sam at (425) 216-1612 or email transitions@cpa4dds.com
BEAUTIFUL BAINBRIDGE ISLAND GENERAL DENTAL PRACTICE
Jul 15, 2022
4 fully equipped ops – 2 operative and 2 hygiene. Great staff, loyal patient base. Collections over $1 mil for past three years.
Contact frank@omni-pg.com; 425-985-8390. (WAD455)
FEDERAL WAY - BEAUTIFUL STAND-ALONE GENERAL PRACTICE
Jul 15, 2022
with CBCT. 8 operatories. Multi-doctor facility; over 40 new patients per month!!! Grossing approx, $1.5mil. Net profit $750K.
Contact Frank at 425-985-8390; frank@omni-pg.com. (WAD288)
OLYMPIA PRACTICE WITH OPTION TO PURCHASE REAL ESTATE!
Jul 12, 2022
2022 collections are in and this practice is going strong! Don’t miss out on this amazing opportunity to own a highly profitable and well established general dental practice with option to purchase real estate! Located in desirable Olympia neighborhood just minutes from the state capitol and a stone’s throw to downtown! This 6 fully equipped operatory practice has it all with a strong hygiene department running double hygiene, fully staffed, low overhead, and plenty of room for growth while operating only 3.5 days per week! Seller is ready to retire, but willing to stay on for a short period to help with a smooth transition at buyers request. 2021 and 2022 collections steady at just over a $1 million. Practice is valued at $878K and offered at only $796K! Stand-alone building with private parking lot available for purchase at $847K! For more information on this amazing opportunity, please contact Jen Bennett at jen@omni-pg.com or 206-6838966. (WAD409)
GREAT ANACORTES PRACTICE FOR SALE IN PRIME LOCATION
Jul 12, 2022
Anacortes General Dental Practice For Sale. Located at the entrance to beautiful Anacortes with great visibility on a busy street. Just minutes from the ferry terminal to the San Juans. 4 op practice with room for more. $1 mil in annual collections. Amazing Staff and Loyal patient base. Real estate may also be for sale.
Contact Frank@omni-pg.com or call 425-985-8390. (WD300)
LONG ESTABLISHED, STABLE, NICELY APPOINTED ISLAND GENERAL DENTAL PRACTICE GROSSING 550K WITH HIGH NET
Jul 12, 2022
Great location in growing area. 3 day a week practice running at 40% overhead - room for growth!
Contact Frank Sciabica, DDS at frank@omni-pg.com, 425-985-8390 for more info. (WAD429)
SOUTH KING COUNTY ORTHODONTIC PRACTICE
Apr 22, 2022
Long-Established Orthodontic Practice Grossing $650K. Subcontract also available to pay debt service on practice! Great location with lots of parking.
Contact Frank Sciabica at 425-985-8390 or frank@ omni-pg.com. (WAD437)
POULSBO/BREMERTON AREA GENERAL DENTAL PRACTICE
Mar 28, 2022
Annual collections over $600,000. Four operatories, 2,100 sq. ft. with digital x-rays.
Contact frank@omni-pg.com or call 425-985-8390. (WAD415)
LONG-ESTABLISHED, REFERRAL-BASED, PROSTHODONTIC PRACTICE FOR SALE IN PIERCE COUNTY
Mar 11, 2022
Annual collections $1.5 million. Full-service dentistry, latest in dental technology. Real estate also for sale. Owner willing to stay through transition.
Contact Frank Sciabica at 425-985-8390 or frank@ omni-pg.com. (WAD411)
RARE OPPORTUNITY TO OWN A SUCCESSFUL, WELL-RESPECTED PRACTICE ON BEAUTIFUL SAN JUAN ISLAND OVERLOOKING FRIDAY HARBOR
Mar 11, 2022
Motivated seller willing to carry portion of financing. Over $700K in only 15 working days per month. Three operatories with potential for four. Waterfront home with mooring and beach available to rent if desired.
Contact rod@omni-pg.com; 206-979-2660. (WAD397) SE WASHINGTON PRACTICE FOR SALE
Mar 11, 2022
5 equipped operatories in 1,700 SF office. Room to grow! Annual collections over $750,000. Digital x-rays. Real estate also for sale.
Frank - frank@omni-pg.com; 425-985-8390. (WAD382) THRIVING GENERAL DENTAL PRACTICE IN CHARMING POULSBO NEAR THE BAY
Dec 3, 2021
Poulsbo Practice on busy street. 4 fully-equipped operatories. Shared space with 4 additional plumbed ops available. Annual Collections over $850,000. Room to Grow!
Frank Sciabica - frank@omni-pg.com; 425-985-8390. (WAD378)
CURRENT OMNI LISTINGS
Apr 29, 2021
For the most current information and to see all available practices for sale in Washington, please visit our website at www.omni-pg.com.
For the most current information and to see all available practices for sale in Washington, please visit our website at www.omni-pg.com.
GENERAL DENTIST
Jul 24, 2023
2023 Case Western Reserve University grad, looking to practice in the I-405 corridor area.
Read my full CV here: https://docs.google.com/document/ d/1xtAhaL9MOPcYaJf5SyivRTlf5BooisBU/edit?usp=share_ link&ouid=111188987716337271029&rtpof=true&sd=true
CONSTANTINE BUILDERS INC. (CBI) —
Oct 10, 2018
WSDA endorses CBI as their preferred builder of Dental facilities with over 25 years of experience from ground up buildings, renovations, remodels, and interior tenant improvement projects. All projects are completed on time and within budget. CBI provides the highest level of quality service with integrity that exceeds our client’s expectation. Please see our display ad on page two and website at www. constantinebuilders.com for additional information and how you can become another satisfied client.
Telephone (206) 957-4400, O. George Constantine. See our ad on the inside front cover!
Many people say that you should get involved in leadership to give back to your profession and community, to share your talent and skills with the organization, and to help fill the ongoing need for volunteers. While true to some extent, I’m going to be a bit more provocative and call BS. The best reason to get involved in leadership is for what it can do FOR YOU.
I got thrown into the leadership track of my local component dental society naively — and almost involuntarily — when I was just a few years out of dental school. I was painfully shy and had zero confidence in myself, but I am stubborn, so I stuck it out.
The biggest benefit you will gain from leadership is opportunity. Opportunity to network, develop new skills, understand your profession/organization/community at a deeper level, find alternative career paths or side gigs, potentially grow your income, and gain more confidence. All while having the opportunity to give back.
But there is something you need to do as you choose to grow in professional leadership. You need to become self-aware.
Wait, what? Self-serving and self-aware?
Yes, and here are a few suggestions to get you started on your self-awareness path.
Take stock of your skills
I do the details well and I like to be the showrunner behind the scenes. This makes me a good program chair. So when an organization wants my help, I offer my services and skills specifically to what I can contribute best.
Know what type of environment you work best in
I strongly dislike committees and boardrooms. I prefer to work on tasks independently or with one other person. I am happy to offer my opinion when asked, but I don’t enjoy long, drawn-out discussions that struggle to find resolution. As a result, I say no to requests to occupy board positions.
What do you want to learn or do more of?
I wanted to write more and didn’t know how to get started. So I submitted a column to WSDA News, which led to chairing the editorial
advisory board. It fulfills my criteria of writing more and not having to come to Seattle for meetings. (This is actually a fun board. And yes, I live in eastern Washington, where waiting more than 15 seconds at a stoplight is too much traffic.)
If you are choosing a leadership role for personal ego or recognition, this is selfish, not self-serving. It will lead to poor relationships, bad energy, and a path of continually chasing the carrot. When someone told me they could see me being president of a large organization, I declined because I knew it was a poor fit and I would only be doing it for the prestige.
Self-awareness is the key to both success and personal health in leadership. It gives you boundaries which ultimately result in more joy in your leadership role.
In 2020, I served as program chair of a national organization. It was a heck of a lot of work. Thankfully, we pulled off the last successful live dental conference before the world shut down and not one person got COVID. The event received lovely reviews.
I chose to be a program chair because it fit my skillset, motivation, and work style. I wanted to learn how to organize an event of that size and level, while knowing that I would be giving up a fair amount of my free time for over a year. I was choosing from a place of self-awareness.
Being program chair was also life-changing. It opened up opportunities for me to grow my network and pivot into professional speaking. A speaker at that meeting became one of my most important mentors and friends. But what was most impactful is that my self-confidence grew by leaps. That’s self-serving. None of these benefits happen overnight or without effort. You should start while you are still young in your career. Don’t make excuses and wait for a better time.
Spending a few moments in self-awareness will help you to say “no” to many roles that will clog up your time, but you will be ready to enthusiastically say “yes” to the leadership opportunity that just might change your career and life.
Do it for you.
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“Spending a few moments in self-awareness will help you to say “no” to many roles that will clog up your time, but you will be ready to enthusiastically say “yes” to the leadership opportunity that just might change your career and life.”
