In this powerful episode, we explore the three possible futures for dental practices in today’s evolving landscape — and why only one path leads to lasting legacy.

Drawing inspiration from the classic "Three Bricklayers" story, we dive deep into the realities of solo practice burnout, the pitfalls of rapid private-equity-driven growth, and the rare, rewarding path of building a cathedral — a dental group that grows responsibly, serves with purpose, and shares its success with the very people who help build it.

We unpack what it means to create a perpetual dental organization — one that thrives on relationships, value-add tactics, and economic resilience. And we reveal the “secret sauce” to long-term success: a powerful employee ownership platform, inspired by companies like Publix, where long-tenured team members share in the upside through an ESOP-style structure.

If you're a dentist, hygienist, assistant, or admin tired of just laying bricks and ready to build something meaningful — this episode is your blueprint.

In this episode of the Group Practice Mutual Podcast, Dr. Nathan Kupperman breaks down the financial realities of running a dental practice, particularly associate-run offices. Discover why many practices operate at razor-thin margins—or even at a loss—and how common misconceptions about overhead can lead to frustration among team members and associates. Learn why transparency about costs is critical for creating alignment, building trust, and fostering a culture of ownership within your organization. Whether you’re a practice owner, manager, or associate, this episode will help you understand the true cost of running a practice and why, in some cases, it’s smarter to “rent” your role as an associate than to “own” a practice.

Dr. Reed Faldet is a young practicing dentist out in Iowa. At the age of 30 he has managed to build up an 8 figure commercial real estate portfolio. Dr. Faldet also owns two dental practices with his wife who is a practicing dentist as well. You won't want to miss the story of his savvy journey.