Private Practice Playbook

EP 66: What It Takes to Build a Practice Bigger Than You

Jan 29, 2026
Dr. Steven Pilipovich, a pediatric dentist who grew a solo practice into a multi-discipline organization, reflects on long-term vision and community-focused leadership. He discusses expanding facilities, adding orthodontics and general dentistry, and investing heavily in team development. He also covers coaching, accountability, and building a patient-first culture that supports sustainable growth.
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ADVICE

Hire Less, Train More

  • Do invest heavily in recruiting and training so you stop hiring the first warm body.
  • Use boot camps and frequent reviews to ensure new hires fit the culture and standards.
INSIGHT

Legacy Is People, Not Procedures

  • The practice's legacy is defined more by how team members and the community are treated than by clinical work.
  • Investing in people multiplies impact across patients, employees, and the town.
ADVICE

Set Big Goals And Run The Numbers

  • Do set big-picture goals and run the numbers so large decisions become less daunting.
  • Work the plan backwards to manage debt, space, and expansion predictably.
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