ADA Accessibility Information

Confidential Buyer Interview Form

Buying and selling a practice requires both parties to share significant information with each other. If you have been considering purchasing your own dental practice, let us help you. Please take a moment to fill out our form below. All information you provide us will be kept strictly confidential. Once submitted we will contact you by your preferred method of contact to discuss your needs and concerns. We look forward to hearing from you.


Personal Information

First name: *

Last name: *

Email address: *

Date of Birth:

Spouse's Name:

Other Languages Spoken:

Right or Left Handed:

left right



Home address:




Evening Phone:

Day Phone:

Cell Phone:



Office address:




Office Phone:

Office email:



Preferred method of contact: *

I am looking for:

I am looking to buy:

Practice type:

Desired setting:

Ideal practice information:

Present Status


Dental school:    Graduation year: 


Date completed:    Focus area: 


Branch:    Exit date: 


Years in practice:    Covenant terms: 


Years in practice:    Covenant terms: 

 Own practice

Years in practice:    Other notes: 


State boards passed (include dates):

Regional boards passed (include dates):


Desired Practice Size

Annual gross receipts:

Number of operatories:

Price range:


My timeframe:

How did you hear about us?



It may take a moment to submit your information. Please wait for a confirmation message.

Dental Transition Seminars & Webinars
Be sure to check regularly for scheduled events, or sign up for our eNewsletter and never miss a conference date! Click here to see upcoming events

Have You Signed Up For Our Newsletter?

If you are considering buying or selling a dental practice anytime in the next 5 to 10 years, then do yourself a favor and sign up for our free eNewsletter. You will learn about a wide range of topics critical to a successful practice transition.

To view past newsletters click here: eNewsletter Archive

Reasor Professional Dental Services - Boise, ID | | 503-680-4366
PO Box 14276, Portland, OR 97293



Copyright © 2011-2018 Reasor Professional Dental Services - Boise, ID and WEO MEDIA. All rights reserved.  Sitemap | Links | Privacy Policy
Reasor Professional Dental Services - Boise, ID, PO Box 14276, Portland, OR, 97214 - Related Terms: Dental practice for sale Boise Idaho; Dental practice for sale Boise Idaho; 503-680-4366;; 5/22/2018