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Dental Practice Purchase Financing: Complete Guide

The Short Answer

Most dental practice acquisitions are financed through SBA loans (10 year terms, 10-15% down) or conventional bank loans (5-7 year terms, 15-20% down). Seller financing can supplement bank financing or, in some cases, replace it entirely.

For a $1 million practice, expect to need $100,000 to $200,000 in cash for down payment plus working capital, closing costs, and reserves.

This guide is for you if: You are preparing to buy a dental practice and need to understand your financing options, qualification requirements, and how to structure the capital stack.

Have financing questions about a specific acquisition? Schedule a consultation to discuss how financing structure affects your purchase agreement and transaction timeline.

Important: Loan terms, rates, and requirements vary by lender and change based on market conditions. The figures in this guide represent general ranges and should not be relied upon for specific financing decisions. Work with qualified lenders and financial advisors for current terms and personalized guidance.

Financing Options Overview

Financing a dental practice acquisition typically involves one or more of three primary sources: SBA guaranteed loans, conventional bank loans, and seller financing. Each has distinct advantages, requirements, and optimal use cases.

Factor SBA Loan Conventional Seller Financing
Term 10 years 5 to 7 years 3 to 7 years
Down Payment 10% to 15% 15% to 20% Negotiable
Interest Rate Prime + 2-3% Prime + 1-2% 5% to 8%
Approval Time 45 to 90 days 30 to 45 days Immediate
Best For Larger deals Faster closing Bridging gaps

Most acquisitions use a combination of sources. A typical structure might include 80% bank financing (SBA or conventional), 10% seller financing, and 10% buyer equity. The optimal mix depends on the deal size, your financial position, the seller's preferences, and current market conditions.

Jaffe Law Insight

"In our dental practice M&A work, we see financing structure drive more deal terms than most buyers initially realize. Lenders often have specific requirements for purchase agreements, non-compete provisions, and transition periods that affect what you can negotiate with the seller. We advise buyers to get pre-approved and understand lender requirements before making offers—not after you've already negotiated terms that your lender won't accept."

— Connor Jaffe, Dental M&A Attorney, Jaffe Law PLLC

SBA Loans Explained

SBA loans are the most common financing vehicle for dental practice acquisitions. The Small Business Administration does not lend directly but guarantees a portion of loans made by approved lenders, reducing the bank's risk and enabling more favorable terms for borrowers.

SBA 7(a) Loan Program

The SBA 7(a) program is the primary vehicle for practice acquisition financing. Key features include loan amounts up to $5 million, terms up to 10 years for practice acquisitions (25 years if real estate is included), the ability to finance goodwill and intangible assets, and lower down payment requirements than conventional loans.

Down Payment

10% to 15%

SBA loans typically require 10% equity injection for well qualified borrowers. Some lenders require 15% depending on deal specifics.

Interest Rate

Prime + 2.25% to 2.75%

Rates are variable, tied to prime rate. Rates adjust quarterly. With prime at 7.5%, expect rates around 9.75% to 10.25%.

Loan Term

10 Years

Standard term for practice acquisitions without real estate. Longer terms reduce monthly payments but increase total interest.

Guarantee Fee

2% to 3.5%

One time fee based on loan amount and term. Can be financed into the loan or paid at closing.

SBA Advantages

  • Lower down payment requirements
  • Longer terms reduce monthly payments
  • Can finance goodwill and intangibles
  • No balloon payments
  • Many lenders specialize in dental

SBA Disadvantages

  • Longer approval process (45-90 days)
  • More documentation requirements
  • Guarantee fee adds to costs
  • Personal guarantee required
  • Collateral requirements on larger loans

Get pre-approved first: Before making offers on practices, get pre-approved by one or two lenders. Pre-approval strengthens your negotiating position, speeds the closing process once you have a signed LOI, and identifies any qualification issues early.

Conventional Bank Loans

Conventional bank loans are direct loans from banks without SBA guarantees. They work well for smaller acquisitions, buyers with strong financials, or situations requiring faster closing.

When Conventional Loans Make Sense

Consider conventional financing when the acquisition is under $500,000 where SBA fees become proportionally expensive, when you need to close faster than SBA timelines allow, when you have strong personal financials and can qualify without SBA backing, or when the practice has minimal goodwill and the loan is primarily secured by tangible assets.

Typical Terms

5 to 7 year terms with potentially lower rates than SBA. Higher down payments (15% to 20%) but no guarantee fees. Monthly payments are higher due to shorter amortization.

Approval Speed

30 to 45 days typical, sometimes faster with established banking relationships. Less documentation than SBA. Good option when timing is critical.

Seller Financing

Seller financing means the seller agrees to receive a portion of the purchase price over time rather than all cash at closing. The buyer makes payments directly to the seller according to agreed terms, typically documented in a promissory note secured by the practice assets.

Why Sellers Agree To Finance

Seller financing benefits sellers by expanding the buyer pool to include those who cannot qualify for full bank financing, potentially achieving a higher total purchase price, spreading tax liability over multiple years, and earning interest income on the financed amount. For buyers, seller financing reduces cash requirements at closing, demonstrates seller confidence in the practice, may offer more flexible terms than bank financing, and can bridge gaps between bank approval and purchase price.

Example: Seller Financing Structure

Purchase Price: $900,000

Bank Financing (SBA): $720,000 (80%)

Seller Note: $90,000 (10%) at 6% over 5 years

Buyer Down Payment: $90,000 (10%)

Monthly payment on seller note: approximately $1,740

Result: Buyer needs $90,000 cash instead of $180,000, and seller receives interest income while deferring some tax liability.

Coordinate With Your Lender

Never finalize seller financing terms without confirming they meet your bank lender's requirements. Banks have specific restrictions on seller note structure, subordination, and standby periods. Misaligned terms can delay or derail your financing approval.

Jaffe Law Insight

"The most common financing mistake we see buyers make is negotiating seller financing terms before understanding their primary lender's requirements. Most SBA lenders require seller notes to be on full standby for 12-24 months and subordinate to the bank's security interest. If you negotiate a seller note with immediate payments or equal priority, you'll have to renegotiate—potentially losing credibility or the deal. Always confirm lender requirements before finalizing any seller financing terms."

— Connor Jaffe, Dental Practice Transaction Attorney, Jaffe Law PLLC

Structuring Your Practice Acquisition?

Get guidance on financing structure, lender coordination, and purchase agreement terms that protect your interests.

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Qualification Requirements

Lenders evaluate both you as a borrower and the practice you are acquiring. Understanding qualification requirements helps you prepare and identify potential issues early.

Borrower Requirements

  • Credit score: Minimum 680 to 700 for most lenders. Higher scores qualify for better rates.
  • Dental experience: At least 2 years of clinical experience post residency for most lenders.
  • Liquidity: Sufficient cash for down payment plus 3 to 6 months of reserves.
  • Debt to income ratio: Existing debt (student loans, personal loans) affects qualification.
  • No recent bankruptcies: Most lenders require 7 years since discharge.
  • Clean background: No felony convictions or professional license issues.

Practice Requirements

  • Profitability: Practice must demonstrate ability to service debt and provide owner income.
  • Cash flow coverage: Typically 1.25x debt service coverage ratio required.
  • Stable or growing revenue: Declining practices may not qualify or require larger down payments.
  • Clean financials: Tax returns and financial statements must be consistent and verifiable.
  • Reasonable valuation: Purchase price must be supportable by practice financials.
  • Lease security: Adequate remaining lease term or favorable renewal options.

Student loan considerations: High student loan balances affect your debt to income ratio but do not necessarily disqualify you. Many dental lenders understand the profession's typical debt loads and have programs designed for recent graduates. Income driven repayment plans can help manage ratios during qualification.

Structuring Your Capital Stack

The capital stack is how you combine different financing sources to fund your acquisition. Optimal structure balances monthly payment affordability, total cost of capital, closing timeline, and risk allocation.

Typical Capital Stack Examples

Example 1: Standard SBA Structure

Purchase Price: $800,000

SBA Loan: $680,000 (85%)

Buyer Equity: $120,000 (15%)

Total cash needed: $120,000 + closing costs + working capital = approximately $150,000 to $170,000

Example 2: SBA Plus Seller Financing

Purchase Price: $1,200,000

SBA Loan: $960,000 (80%)

Seller Note: $120,000 (10%) on 24 month standby

Buyer Equity: $120,000 (10%)

Total cash needed: $120,000 + closing costs + working capital = approximately $160,000 to $190,000

Working Capital Considerations

Beyond the purchase price, budget for accounts receivable float during the transition (collections lag production), payroll and operating expenses before revenue stabilizes, inventory and supply restocking, any immediate equipment repairs or replacements, marketing for new patient acquisition, and professional fees (legal, accounting, consulting).

Most lenders require you to demonstrate 3 to 6 months of operating reserves in addition to your down payment. Budget $50,000 to $100,000 in working capital depending on practice size.

When To Speak With A Dental Practice Transaction Attorney

Financing structure affects legal documentation and deal terms in ways that benefit from experienced counsel. Dentists should consider consulting with a dental M&A attorney when:

When To Consult A Dental M&A Attorney About Financing

  • Negotiating seller financing terms — to ensure promissory note, security agreement, and subordination terms are properly documented and coordinated with bank requirements
  • Reviewing bank loan documents — to understand personal guarantee scope, default provisions, and prepayment terms before signing
  • Structuring the purchase agreement — to ensure financing contingencies, timelines, and conditions protect you if financing falls through
  • Coordinating lender requirements — to align purchase agreement terms with what your lender will accept
  • Addressing real estate decisions — when financing involves both practice acquisition and real estate purchase
  • Navigating complex deals — when multiple financing sources, earnouts, or equity arrangements are involved

Jaffe Law PLLC represents dentists in practice acquisitions, including purchase agreement negotiation, financing coordination, and transaction documentation. Schedule a consultation to discuss your specific situation.

Frequently Asked Questions

Most dental practice acquisitions require 10% to 20% down payment. SBA loans typically require 10% to 15% equity injection, while conventional bank loans may require 15% to 20%. Some lenders accept seller financing as part of the equity requirement, potentially reducing your out of pocket cash needs. Budget additional funds for closing costs, working capital, and reserves beyond the down payment.
Most lenders require a minimum credit score of 680 to 700 for dental practice acquisition loans. Higher credit scores typically qualify for better interest rates and terms. Some lenders may work with scores in the 650 to 680 range with compensating factors such as higher down payment, strong practice financials, or significant liquid assets. Check your credit early and address any issues before applying.
Conventional bank loans typically take 30 to 45 days from application to funding. SBA loans take 45 to 90 days due to additional documentation requirements and SBA approval processes. Pre-approval before finding a practice can significantly speed the process once you have a signed LOI. Build adequate time into your purchase agreement timeline to avoid extension requests or missed closing dates.
Full financing without any buyer equity is rare but possible in limited situations. Some structures combine bank financing (80% to 90%) with seller financing (10% to 20%) to cover the full purchase price. However, most lenders require some equity injection to ensure the buyer has financial commitment to the acquisition and reduce default risk. Sellers willing to finance significant portions may also accept lower down payments.
SBA loans are partially guaranteed by the Small Business Administration, allowing lenders to offer longer terms (up to 10 years), lower down payments (10% to 15%), and financing for goodwill and intangible assets. Conventional loans have shorter terms (5 to 7 years), higher down payments (15% to 20%), but faster approval and potentially lower fees. SBA loans work better for larger acquisitions while conventional loans suit smaller deals or buyers wanting faster closing.
Student loans affect your debt to income ratio but do not necessarily disqualify you from practice financing. Dental lenders understand the profession's typical debt loads and have programs designed for borrowers with significant student debt. Income driven repayment plans can reduce your monthly student loan payments, improving your debt to income ratio for qualification purposes. Discuss your specific situation with lenders early in the process.

Common Financing Mistakes

  • Not getting pre-approved before making offers on practices
  • Underestimating total cash needs (down payment + closing costs + working capital + reserves)
  • Negotiating seller financing terms that conflict with bank requirements
  • Choosing a lender based solely on rate without considering dental industry experience
  • Failing to budget adequate time for SBA approval in purchase agreement
  • Not shopping multiple lenders to compare terms and requirements
  • Ignoring the impact of real estate decisions on financing structure

Disclaimer: This article is for general informational purposes only and does not constitute legal or financial advice. Reading this guide does not create an attorney client relationship with Jaffe Law PLLC. Loan terms, rates, and requirements vary by lender and market conditions. Consult with qualified lenders and financial advisors for guidance specific to your situation.

Connor Jaffe, Esq., dental M&A attorney

Connor Jaffe, Esq.

Dental Practice M&A Attorney · Founder, Jaffe Law PLLC

Connor Jaffe is a dental M&A attorney who represents dentists in practice acquisitions, sales, DSO transactions, and business matters. His background includes dental practice M&A, sports and entertainment contracts at IMG, and commercial real estate. He holds a J.D. and M.B.A. from the University of Miami.