Dental Practice Acquisition Checklist
Use this form to capture the key information needed to evaluate and organize a dental practice acquisition.
Practice and Contact Details
Practice Name
*
Practice Address / Location
*
Seller or Broker Contact Name
*
First Name
Middle Name
Last Name
Acquisition Overview
Asking Price or Purchase Range
*
Number of Chairs/Operatories
*
Annual Production/Revenue Range
Operational Due Diligence
Staff transition or retention needs
*
Equipment and asset status
*
Lease or real estate status
Checklist notes for documents or issues to review
Submit
Should be Empty: