Buying a home, leasing or buying an operatory, and timing the two so neither holds the other hostage. Written from the inside of both industries.
Why this is a different transaction
David''s family founded a dental laboratory in 2008 and he still owns and operates it; he has been in real estate since 2015. That overlap is unusual, and it matters here for a plain reason: a dentist relocating to South Florida is running two purchases at once, and the two constrain each other.
Most agents can help with one of them. Fewer understand why the compressor room location determines whether a suite is affordable, or why an SBA-backed practice acquisition changes what a residential lender will want to see.
Start with the practice, price the home around it
Whether you are acquiring an existing practice, opening cold, or moving an established one, the office decision drives geography, and geography drives the home search. Working backwards from a house you loved on a Sunday is how people end up commuting across Broward twice a day.
Practical order in most cases:
- 01Define the patient geography and the practice model.
- 02Identify viable commercial submarkets and confirm zoning permits dental use.
- 03Model build-out and total occupancy cost, not just base rent.
- 04Get the practice financing structured.
- 05Then run the home search inside the resulting radius.
What makes a dental suite work
Zoning and use. Medical and dental use is not permitted everywhere retail is. Confirm the municipality allows it and that the landlord''s existing tenant mix does not contain an exclusivity clause blocking you.
Plumbing and mechanical. Chair count is a plumbing problem. Existing medical or dental space carries enormous value because the rough-in already exists. A raw retail bay may quote attractive rent and cost far more to open.
Electrical and equipment. Panel capacity, dedicated circuits, compressor and vacuum placement, and noise isolation from operatories.
Parking ratio. Patient volume plus staff plus turnover. An under-parked center creates a daily friction your patients will feel.
ADA and life safety. Restroom accessibility, corridor widths and egress often drive permit-stage surprises in older buildings.
Signage and visibility. Negotiate it into the lease. It is much harder to obtain later.
Lease terms. Tenant improvement allowance, free rent during build-out, escalations, personal guaranty scope, assignment rights on a future practice sale, and an option to renew that protects the value you are creating.
That last item deserves emphasis: your lease is an asset when you eventually sell the practice. A short term with no options reduces what a buyer will pay.
Where dentists tend to live here
The practical corridors are Boca Raton and west Boca for schools and central access; Delray Beach for walkability and lifestyle; Parkland and Coral Springs for lot size and family infrastructure; Boynton Beach for value; and Lighthouse Point or the coastal Broward pockets for buyers who want water. Match the choice to your commute, not to a brochure.
Buying, leasing or selling a practice elsewhere
If you are exiting a practice in another state, that transaction usually needs its own local specialist. Through the Sotheby''s International Realty network we can make an introduction almost anywhere in the country, so the sale on that end and the purchase on this one are not being run by strangers to each other.
A low-friction next step
You do not need a listing appointment to start. A conversation about sequence, timing and geography is usually worth more at this stage than a property list. Our dentists page outlines how we work with practice owners, and the buyers guide covers the residential side.
Written by DZ Premier Group — David Rouche and Zachary Lee, ONE Sotheby’s International Realty. Questions about your own situation? Start a conversation.
- dentists
- relocation
- commercial








