
#338 Show, Don’t Tell — Grant Goodstein
Dental Leaders Podcast
Searching for the Right Practice to Buy
Grant outlines their search process, brokers used, and ultimately negotiating the purchase of Perfect Smile in Fulham.
Grant Goodstein isn't a dentist — and that might be exactly why this episode is so refreshing. An American tech exec turned practice owner, Grant moved to London for love (a Hannah Montana-inspired trip to LA, a dating app, and a last-minute Vegas concert, if you can believe it) and ended up buying a mixed NHS practice in Fulham with his wife, Leah.
What follows is a masterclass in what happens when someone with zero clinical background but serious business chops walks into a neighbourhood dental practice and starts asking, "What do patients actually want?"
From GBT machines and AI phone systems to living wage accreditation and obsessing over Wi-Fi signal strength in the toilet, Grant's approach is equal parts Silicon Valley hustle and genuine community spirit.
In This Episode
00:01:00 – Meeting Leah: dating apps, Hannah Montana and a spontaneous trip to Vegas
00:06:15 – London vs Los Angeles
00:08:25 – Growing up sports-obsessed and working for Michigan basketball
00:13:10 – Coaching rituals and building team enthusiasm
00:15:25 – Buying the practice: staff turnover, evolution vs revolution
00:19:35 – Practice valuations then and now
00:22:05 – Listening to patients and expanding hygiene
00:26:10 – Running a mixed practice: the case for keeping NHS
00:32:20 – Growing Invisalign from 20 to 100 cases a year
00:34:10 – Genuine interest, patient conversations and the "daughter test"
00:36:10 – The search for the right practice
00:41:20 – Nervous patients and the patient experience
00:43:35 – Investing in GBT and premium hygiene
00:49:40 – Learning when and how to say no
00:55:25 – Tech stack: CareStack, VoIP, AI transcription and remote hiring
01:02:45 – Reception as a revenue driver
01:06:25 – Training, role plays and AI for SOPs
01:09:20 – High-performing teams: sports analogies in practice
01:11:30 – Blackbox thinking
01:15:20 – Refurb lessons and driving urgency
01:18:50 – Finding purpose after tech burnout
01:21:15 – Favourite business books
01:24:50 – Fantasy dinner party
01:31:15 – Leah's fearless flyer course and treating nervous patients
About Grant Goodstein
Grant Goodstein is the managing director of Pearly Whites dental practice in Fulham, London, which he co-owns with his wife, dentist Leah Goodstein. A University of Michigan economics graduate, Grant previously worked in tech — including a stint at Twitter — before moving to the UK and channelling his business background into practice ownership.


