
Dentistry, at its core, is about service, systems, and people. Every successful dental practice shares these traits with thriving restaurant brands like McDonald’s and Chick-fil-A. Dr. Howard Farran often uses these two giants as examples to show how structure, leadership, and attention to detail can shape a dental practice into a lasting success story.
These companies do not succeed by chance; they succeed because they build predictable, repeatable, and people-centered systems that deliver quality experiences every single day. The same approach can help any dentist strengthen operations, develop team culture, and achieve consistent growth.
McDonald’s is one of the most recognizable brands in the world because it promises the same experience everywhere. Whether you walk into a branch in Tokyo or Texas, you know what the menu looks like, how long you will wait, and what the food will taste like. That consistency builds trust.
In dentistry, consistency creates patient confidence. A well-organized practice ensures that every visit feels reliable, efficient, and professional.
Patients who experience predictability are more likely to return, refer others, and follow through with recommended treatments.
Ray Kroc, the visionary behind McDonald’s, believed in simplifying operations. He knew that a complicated process increased mistakes and slowed down growth. His mantra was to make every system so clear that a new employee could master it in days.
For dental practices, simplicity is equally powerful. Complicated workflows confuse teams and create bottlenecks. Simplifying procedures allows your staff to focus on what matters most: patients.
Actionable steps:
Ray Kroc once said that customers decide whether to trust a restaurant the moment they step inside and look at the floor and restroom. Cleanliness, to him, reflected discipline and pride.
The same logic applies to a dental practice. A tidy reception area, spotless restroom, and organized operatory create silent reassurance for patients. They subconsciously associate cleanliness with quality care.
A simple habit like checking the lobby every hour or maintaining a strict end-of-day cleaning checklist helps protect that image.
Truett Cathy, Chick-fil-A’s founder, built his empire by hiring people for their attitude, not just their skills. His team believed in serving guests with kindness and integrity. Their famous phrase, “My pleasure,” became a symbol of genuine hospitality.
Dentistry is no different. A skilled but indifferent team member can damage patient relationships faster than any clinical error. Hiring people with warmth, empathy, and teamwork makes a bigger impact than hiring for credentials alone.
Ways to strengthen hiring practices:
Chick-fil-A’s leadership invests in its people, offering scholarships, leadership programs, and mentoring. As a result, employees feel valued, and that pride reflects in every customer interaction.
Dentists can foster the same environment by creating a culture that recognizes effort, encourages learning, and celebrates success.
Culture-building ideas:
When people feel appreciated, they care more about patient experiences, which strengthens loyalty on both sides of the chair.
A patient’s perception of a dental office forms in the first 60 seconds. How they are greeted, how the office smells, and how organized the reception looks all influence their comfort level.
Ray Kroc paid attention to every detail, from the temperature of the fries to the brightness of the lighting, because he knew customers judged quality by what they could see and feel.
Translating that mindset to dentistry:
Chick-fil-A employees are known for doing small, unexpected acts of kindness: carrying trays, refilling drinks, or walking customers to their cars. These gestures turn ordinary transactions into memorable experiences.
Dentists can take similar steps:
These extra touches make patients feel cared for rather than processed.
Dentists often believe that structure limits creativity, but in truth, structure creates freedom. McDonald’s and Chick-fil-A succeed because their systems handle the routine, allowing leaders to focus on innovation and relationships.
A dental office with clear protocols and checklists operates more smoothly, even when the owner is not present. Consistency creates predictability, and predictability builds profit.
Core systems every dental practice should perfect:
Strong systems are the backbone of both great franchises and great dental offices.
Both Ray Kroc and Truett Cathy spent time on the ground, observing their businesses firsthand. They knew names, faces, and daily challenges. A dentist should do the same, walk through the office regularly, listen to staff feedback, and take ownership of both successes and problems.
If the leader cuts corners, so will the team. A dentist who values punctuality, transparency, and excellence inspires others to do the same. Your behavior sets the tone for your entire practice.
McDonald’s managers track service time down to the second. Chick-fil-A tracks customer satisfaction and order accuracy relentlessly. Dental leaders should also measure key metrics such as production, collections, new patient numbers, and case acceptance rates. What gets measured gets managed.
Marketing can bring patients through the door, but service keeps them coming back. Chick-fil-A rarely relies on aggressive advertising because its loyal fans do the talking.
Similarly, a dental practice that consistently provides kind, reliable, and comfortable experiences will generate word-of-mouth referrals stronger than any ad campaign.
Strategies for a memorable patient journey:
Happy patients are your most persuasive marketers.
Both McDonald’s and Chick-fil-A prove that discipline and values can coexist. McDonald’s built its success on operational precision; Chick-fil-A built its success on human kindness. Dentistry sits at the intersection of both.
Dr. Farran often says that dentistry thrives when systems support the science and people define the culture. Profit follows when a team genuinely cares about doing the right thing for patients and runs operations with business discipline.
In summary:
These principles create not only profitable practices but workplaces that inspire pride.
To hear Dr. Howard Farran share more insights about applying business lessons from McDonald’s and Chick-fil-A to dental practice management, watch the full episode of The Dental Boardroom Podcast. The discussion offers practical advice for dentists who want to grow with purpose, lead with integrity, and build teams that love what they do.
Wes knows what's best for dental practices. He's been doing this for a long time and he sees lots of practices. He can tell me how our practice is doing, and what we can do to increase our productivity. With past CPA's, there were no ideas. It was all coming from me, saying "I think I can do better, but I don't know how." I come in to meet with Wes and he says "You CAN do better, and I know how."
PracticeCFO is in hundreds of dental offices around the country. They know what numbers should look like. They know what percentages of payroll, rent and supplies should be, and they will hold you accountable to those numbers, which will really help you stick to your plan and your path of growth and savings. That is invaluable
Whenever something comes up, whether it's building or practice related and we weren't sure where the numbers would go, PracticeCFO has been instrumental in helping us figure that out. I can't say enough of how important that is - that it goes beyond that initial partnership. They make sure this business marriage works.
When I go home from work, I don't spend a whole lot of time stressing about what my books look like, or how much I owe in taxes. By using PracticeCFO, the burden of keeping track of a lot of the big financial numbers and metrics are taken off my plate.
PracticeCFO helped me develop a plan for the future. I have colleagues that work with other accountants that don't have a plan - they just look at the numbers of the practice and that's it. There's no plan for 10, 20 years from now. But with PracticeCFO, you get that. PracticeCFO makes you feel like you're they're only client.
(In reference to his practice sale) What could've been super stressful, wasn't! When picking John and Wes, it was from word of mouth recommendations and other people's experiences from the past that really did it for me. And it turns out that those recommendations were right on the line.
Wes knows the business side of dentistry. His comprehensive plan will organize your personal and professional finances so you can focus on taking care of patients. Massive ROI.
I can’t say enough good things about everyone at PracticeCFO. Everyone on the team is professional, organized, knowledgeable, helpful and kind. They also respond to emails and phone calls immediately and are always happy to help. They have helped me navigate year-to-year as a business owner. PracticeCFO gives me peace of mind that my business is in good hands.
I love Practice CFO! They have helped me obtain a practice and maintain a practice. They are incredible people who are on top of everything and make owning and running the business portion of a practice easy. They couldn’t be better for my business and my sanity. They have every detail of the business and taxes taken care of where all I have to do is show up and follow their easy steps to success!
Practice CFO has the best tools I’ve seen for personal tax and financial planning in addition to top-tier corporate tax and accounting services. I have been very pleased with the level of quality service. They manage my monthly bookkeeping and accounts payable. It is a great system and saves me a ton of time, and it allows us to have monthly financial statements within a week of month end.

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