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Restrictive Covenants in Dental Contracts: Enforceability Guide

The Short Answer

Noncompete enforceability depends on your state and the specific terms. Most states enforce reasonable restrictions (5-15 miles, 1-2 years) that protect legitimate business interests. Some states like California largely prohibit employment noncompetes.

Before signing a noncompete, understand exactly what you are giving up and whether the restriction is enforceable in your state. Before violating one, get legal advice on your specific situation.

This guide is for you if: You are reviewing an associate contract with restrictive covenants, considering leaving a position with a noncompete, or negotiating covenant terms.

Have questions about a noncompete? Schedule a consultation to assess enforceability and discuss your options.

Important: Noncompete enforceability varies significantly by state and depends on specific facts. This guide provides general information but should not be relied upon for specific legal decisions. Consult with an attorney licensed in your state for advice on your situation.

Types of Restrictive Covenants

Restrictive covenants limit your activities during and after your relationship with an employer or practice buyer. Different types of covenants protect different interests and have different enforceability standards.

Noncompete (Covenant Not To Compete)

Prohibits you from practicing dentistry within a geographic area for a period after the relationship ends. The most significant restriction on your career flexibility.

Nonsolicitation of Patients

Prohibits you from actively soliciting patients of the former practice. May allow treating patients who find you independently. Often broader than noncompete radius.

Nonsolicitation of Employees

Prohibits recruiting staff from your former practice to join you. Typically easier to enforce than noncompetes because it protects specific business relationships.

Confidentiality / Nondisclosure

Prohibits sharing practice information including patient lists, fee schedules, and business methods. Usually perpetual and broadly enforceable.

These covenants often appear together. A contract might include all four types, each with different scope and duration. Analyze each separately because enforceability varies.

Factors Affecting Enforceability

Courts evaluate noncompetes based on reasonableness. Even in states that generally enforce noncompetes, unreasonable restrictions may be modified or struck down.

Reasonableness Factors

Factor Generally Reasonable Potentially Unreasonable
Geographic Scope 5 to 15 miles from practice location 25+ miles or entire metropolitan area
Duration 1 to 2 years 3+ years or indefinite
Scope of Restriction General dentistry or specific specialty practiced All healthcare or unrelated fields
Consideration Employment, signing bonus, or other value No new consideration for existing employee

Legitimate Business Interests

Courts require that noncompetes protect legitimate business interests, not merely prevent competition. Recognized interests include protection of patient relationships and goodwill, protection of confidential business information, recouping investment in training and development, and for practice sales, protecting the value the buyer purchased.

Multiple location problem: If you work at multiple practice locations, a noncompete from each location can effectively blanket an entire region. Courts may find such cumulative restrictions unreasonable even if each individual restriction seems modest. Address this during negotiation by limiting restrictions to locations where you actually worked.

State-by-State Overview

States vary dramatically in their approach to noncompete enforcement. Understanding your state's rules is essential before signing or attempting to escape a noncompete.

California

Generally prohibits employment noncompetes

North Dakota

Generally prohibits noncompetes

Oklahoma

Generally prohibits noncompetes

Colorado

Limits noncompetes, exceptions for high earners

Washington

Limits noncompetes, income threshold applies

Oregon

Limits duration and requires garden leave

Florida

Generally enforces reasonable noncompetes

Texas

Enforces reasonable noncompetes

Georgia

Enforces reasonable noncompetes

Green = employee friendly (limits noncompetes). Yellow = moderate restrictions. Red = generally enforces noncompetes. This is a simplified overview; consult local counsel for specific guidance.

Choice of Law Clauses

Some contracts specify that a particular state's law governs the agreement. A Florida employer might try to apply Florida law even if you work in California. Courts do not always honor these clauses, especially when the chosen state has no connection to the employment. If your contract includes an unfavorable choice of law clause, discuss implications with an attorney.

Employment vs Practice Sale Noncompetes

Courts treat noncompetes differently depending on context. Practice sale noncompetes are generally enforced more readily than employment noncompetes.

Employment Noncompetes

More scrutinized because of unequal bargaining power. Employee may have little choice but to accept terms. Courts more likely to narrow or strike unreasonable restrictions.

Practice Sale Noncompetes

More readily enforced because seller negotiated at arm's length, received substantial compensation, and the buyer needs protection for goodwill purchased. Broader scope often acceptable.

If you are selling your practice, expect the buyer to require a meaningful noncompete. This is reasonable because the buyer is paying for patient relationships. The negotiation focuses on scope rather than whether to include one at all.

Example: Sale vs Employment Scope

Employment context: 10 mile radius, 2 year duration typically enforceable.

Practice sale context: 15 to 20 mile radius, 3 to 5 year duration may be enforceable given the value transferred.

Practice sale noncompetes can be substantially broader because courts recognize the buyer paid for protection.

Questions About Your Noncompete?

Get analysis of enforceability, options for negotiation, and guidance on your specific situation.

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Negotiation Strategies

The best time to address noncompete concerns is before you sign. Once you have accepted terms, leverage shifts dramatically.

What To Negotiate

  • Reduce geographic scope: Push for 5 to 10 miles instead of 15 to 20. In urban areas, even a few miles makes significant difference in available opportunities.
  • Shorten duration: 1 year instead of 2. The first year after leaving is when patient relationships are strongest; protection beyond that is less justified.
  • Limit to actual work location: If you work at one office, the noncompete should not cover other practice locations where you never worked.
  • Add carve-outs: Hospital employment, public health positions, or specialty practice outside your current scope.
  • Include termination trigger: Noncompete waived if employer terminates you without cause. Why should you be restricted if they ended the relationship?
  • Buyout provision: Option to pay a defined amount to be released from the noncompete early.

Negotiation Leverage

Your leverage depends on how much the employer wants you specifically and market conditions for dental talent. Strong negotiating positions come from specialized skills or credentials, current shortage of associates in the area, competing offers from other practices, and willingness to walk away from unreasonable terms.

Even without strong leverage, asking for modifications is reasonable. Many employers will make modest adjustments to close a hire they want. You will not know unless you ask.

What Happens If You Violate A Covenant

Violating a noncompete triggers legal risk. Before opening a competing practice or taking a restricted position, understand potential consequences.

Employer Remedies

Injunctive relief. The most immediate threat is a court order requiring you to stop practicing in the restricted area. If granted, you may have to close your new practice or quit your new job. Courts can issue temporary restraining orders quickly, before full hearing on enforceability.

Monetary damages. The employer may recover lost profits, patient value, and other damages caused by your violation. Some contracts include liquidated damages clauses specifying predetermined penalties.

Attorney fees. Many contracts require the losing party to pay the winner's attorney fees. If you lose, you pay both sides' legal costs.

Before Violating A Noncompete

  • Consult an attorney to assess enforceability in your specific situation
  • Review the contract for notice requirements or cure provisions
  • Document any employer breaches that might release you from the covenant
  • Consider whether negotiating a release is possible
  • Prepare for potential litigation and its costs
  • Inform your new employer or partners of the risk they may share

Defenses And Arguments

If you decide to challenge a noncompete or defend against enforcement, potential arguments include the restriction is unreasonable in scope or duration, the employer lacks legitimate business interest to protect, the employer breached the contract first releasing you from obligations, inadequate consideration was provided for the restriction, changed circumstances make enforcement inequitable, and public policy concerns about restricting healthcare access.

Successful defenses exist but are not guaranteed. Litigation is expensive and uncertain. Evaluate the strength of your position carefully before relying on these arguments.

Frequently Asked Questions

Enforceability depends on your state and the specific terms. Most states enforce reasonable noncompetes that protect legitimate business interests. Typical enforceable restrictions are 5 to 15 miles for 1 to 2 years. Some states like California, North Dakota, and Oklahoma largely prohibit employment noncompetes. Courts evaluate reasonableness based on geographic scope, duration, and hardship to the restricted party.
Courts generally consider 5 to 15 miles reasonable for dental practices, reflecting the typical patient draw area. Urban practices may justify smaller radii (patients are less likely to travel far) while rural practices may justify larger ones (fewer practice options). Restrictions covering 25+ miles or entire metropolitan areas are more likely to be challenged as unreasonable unless specific circumstances justify the breadth.
The former employer may seek injunctive relief (court order stopping you from practicing in the restricted area) and monetary damages. If the covenant is enforceable, courts can force you to close or relocate your new practice. Some contracts include liquidated damages clauses specifying fixed penalties for violation. Before violating a noncompete, consult an attorney to assess enforceability and understand your risks.
Yes. Courts generally enforce practice sale noncompetes more readily than employment noncompetes because the buyer paid for goodwill and patient relationships, the seller had bargaining power and received substantial compensation for the restriction, and protecting the purchase makes commercial sense. Sale noncompetes often have broader geographic scope (15-20 miles) and longer duration (3-5 years) than what would be enforceable in employment.
Yes. Noncompete terms are negotiable before you sign. Common negotiation points include reducing geographic radius, shortening duration, adding carve-outs for specific situations, limiting restrictions to locations where you actually worked, and including provisions that waive the noncompete if the employer terminates without cause. Your leverage depends on how much the employer wants you and local market conditions.
In most states, yes, the noncompete applies regardless of how employment ends unless the contract specifically provides otherwise. Some contracts waive the noncompete if the employer terminates without cause, but this must be negotiated into the agreement. If your contract does not address this, assume the noncompete applies whether you quit, are laid off, or are fired. The manner of termination may affect a court's willingness to enforce harsh restrictions, but do not count on this defense.

Common Noncompete Mistakes

  • Signing without understanding the full scope of restrictions
  • Assuming noncompetes are never enforceable (they often are)
  • Not negotiating because you assume terms are non-negotiable
  • Violating a noncompete without legal advice on enforceability
  • Ignoring multiple location restrictions that cumulate to blanket coverage
  • Failing to document employer breaches that might release you
  • Assuming your new state's laws automatically apply over the contract's choice of law
  • Starting a competing practice without preparing for potential litigation

Disclaimer: This article is for general informational purposes only and does not constitute legal advice. Reading this guide does not create an attorney client relationship with Jaffe Law PLLC. Noncompete enforceability varies significantly by state and specific circumstances. Consult with an attorney licensed in your state for advice on your particular situation.

Connor Jaffe, Esq., dental M&A attorney

Connor Jaffe, Esq.

Dental M&A Attorney · Founder, Jaffe Law PLLC

Connor Jaffe represents dentists in associate contracts, practice acquisitions, sales, and DSO transactions. 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.