Forming a Dental Corporation: Legal Guidelines and Best Practices

Forming a Dental Corporation: Legal Guidelines and Best Practices

Forming a Dental Corporation: Legal Guidelines and Best Practices


Starting a dental practice is an exciting endeavor, but the legal aspects of forming a dental corporation can be complex. Dental practitioners must navigate through a maze of regulations, compliance requirements, and corporate formalities to establish a successful and legally sound dental corporation. In this blog post, Real Estate Law Corporation will provide valuable insights into the legal guidelines and best practices for forming a dental corporation, ensuring that you have the foundation for a thriving practice while adhering to all necessary legal standards.

I. Choosing the Right Corporate Structure

Selecting the appropriate corporate structure is the first step in forming a dental corporation. The most common choices for dental practices include:

Professional Corporation (PC): A Professional Corporation is a common choice for dental practices. It offers certain tax advantages while allowing dental practitioners to maintain their professional status and limit personal liability.

Limited Liability Company (LLC): An LLC provides a flexible and tax-efficient structure. While it offers liability protection, dental practitioners may need to form a professional limited liability company (PLLC) to maintain their professional status.

Professional Association (PA): Some states allow dental practitioners to form a Professional Association, which provides professional liability protection but may have specific requirements and limitations.

Choosing the right structure depends on factors such as liability protection, taxation, and state-specific regulations. It’s advisable to consult with an attorney specializing in healthcare law to determine the most suitable option for your dental corporation.

II. Compliance with State Dental Board Requirements

Each state has its own dental board that regulates the practice of dentistry, including the formation and operation of dental corporations. Dental practitioners must comply with their state dental board’s specific requirements, which may include:

Licensing and Credentialing: Dental practitioners forming a dental corporation must ensure that all shareholders and owners are properly licensed and credentialed by the state dental board.

Ownership Restrictions: Some states have restrictions on the ownership of dental corporations, including limits on the percentage of ownership by non-dentists or out-of-state practitioners.

Reporting and Documentation: Dental corporations may be required to submit regular reports, maintain specific records, and provide documentation related to their corporate structure and ownership.

It is crucial to consult with legal counsel experienced in healthcare law to navigate state-specific requirements and ensure compliance with the state dental board.

III. Shareholder Agreements and Corporate Governance

Once the corporate structure is established, dental practitioners forming a dental corporation should create a shareholder agreement to govern the corporation’s internal affairs. Key considerations include:

Ownership and Equity: Define the ownership structure, equity distribution, and voting rights of shareholders. This agreement clarifies each shareholder’s role and financial interest in the corporation.

Decision-Making: Establish decision-making processes, including how major corporate decisions will be made, and the roles and responsibilities of shareholders, directors, and officers.

Transfer of Shares: Address the procedures for transferring or selling shares, including restrictions on selling to non-dentists or competitors.

Buy-Sell Agreement: Include a buy-sell agreement to outline the process for selling or transferring shares upon a shareholder’s retirement, disability, or departure from the corporation.

Non-Compete and Non-Solicitation: Consider including non-compete and non-solicitation clauses to protect the corporation’s interests and prevent competition among shareholders.

The shareholder agreement is a critical document that provides a clear framework for the dental corporation’s governance, preventing disputes and promoting smooth operations.

IV. Compliance with Anti-Kickback and Self-Referral Laws

Dental practitioners forming a dental corporation must be aware of federal and state anti-kickback and self-referral laws, including the federal Stark Law and the Anti-Kickback Statute. These laws prohibit healthcare providers from engaging in fraudulent or abusive practices, including illegal referrals and financial arrangements.

Dental corporations should:

Avoid Kickbacks: Ensure that all financial arrangements with third parties, such as referral sources or suppliers, are transparent, fair, and not based on illegal kickbacks.

Comply with Stark Law: Understand and comply with the Stark Law’s provisions regarding physician self-referrals, which can apply to dental practitioners in certain situations.

Document Fair Market Value: Maintain clear documentation of all financial transactions and agreements, including leases, service contracts, and compensation arrangements, demonstrating that they meet fair market value standards.

Failure to comply with these laws can result in severe penalties, including fines, exclusion from federal healthcare programs, and legal liabilities. Seeking legal counsel to review and ensure compliance with these laws is crucial.

V. Protecting Patient Privacy and Data Security

Patient privacy and data security are paramount in healthcare. Dental corporations must comply with the Health Insurance Portability and Accountability Act (HIPAA) regulations, which govern the privacy and security of patients’ protected health information (PHI). Dental practitioners forming a dental corporation should:

Conduct HIPAA Risk Assessments: Perform regular HIPAA risk assessments to identify and address vulnerabilities in the handling of PHI.

Develop HIPAA Policies: Establish comprehensive HIPAA policies and procedures that govern the handling, storage, and transmission of PHI within the corporation.

Train Staff: Train all employees and contractors on HIPAA compliance and the importance of safeguarding patient privacy.

Implement Data Security Measures: Implement robust data security measures, including encryption, access controls, and disaster recovery plans, to protect against data breaches.

Appoint a HIPAA Compliance Officer: Designate a HIPAA compliance officer responsible for ensuring ongoing compliance with HIPAA regulations.

HIPAA violations can result in significant fines and damage to the dental corporation’s reputation. Dental practitioners must prioritize patient privacy and invest in comprehensive HIPAA compliance measures.


Forming a dental corporation involves numerous legal considerations, including choosing the right corporate structure, complying with state dental board requirements, creating shareholder agreements, adhering to anti-kickback and self-referral laws, and ensuring patient privacy and data security. Dental practitioners should seek the guidance of experienced healthcare attorneys to navigate these complexities effectively.

At Real Estate Law Corporation, our specialized attorneys can provide the legal expertise you need to establish a dental corporation that complies with all regulations and promotes your practice’s success. If you have questions about forming a dental corporation or require assistance with any aspect of the process, please contact us. Your practice’s legal protection and compliance are our top priorities, and we’re here to assist you every step of the way.

Whether you’re a property owner, investor, or business owner, Real Estate Law Corporation™ is your trusted partner on the path to legal success. Contact us today to embark on a journey of exceptional legal support. Our team of seasoned attorneys brings decades of experience to every case, demonstrating a profound understanding of real estate law, transactions, litigation, business intricacies, and estate planning. With a proven record of success, our portfolio is adorned with numerous landmark cases that stand as a testament to our dedication, expertise, and commitment to achieving favorable outcomes for our clients.