Shea Practice Transitions

Phone: 952-920-9411

About
Opportunities
Dental Practice Buyers
Dental Practice Sellers
Dental Practice Appraisals
Resources
Contact Us

About
Opportunities
Dental Practice Buyers
Dental Practice Sellers
Dental Practice Appraisals
Resources
Contact Us

Seller’s Questionnaire

Please complete this form if you are interested in having Shea Practice Transitions assist you with the sale of your practice.

1Contact Info

2Home Address Info

3Office Address Info

4Practice Info

Name*
First Last
Email*
Can we correspond with you at this email address?*
- Yes
- No
Where would you prefer to be contacted?*
- Home
- Office
- Other
What is your preferred method of contact?*
- Email
- Home Phone
- Office Phone
- Cell Phone

Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone*
Home Fax, if applicable
Can we correspond with you at this address and phone?*
- Yes
- No

Office Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Office Phone
Cell Phone
Office Fax, if applicable
Can we correspond with you at this address and phone?*
- Yes
- No

Birth Date
MM slash DD slash YYYY
Type of practice (i.e. general, ortho, endo)*
Briefly describe your need for a practice transition (required)*
What is your timeframe to transition your practice?*
Is there anyone else that will be assisting you with your decision (e.g. consultant, accountant, attorney)? If so, please specify.*
CAPTCHA

Services and Resources

Dental Practice Sales
Associateships
Buyer Representation
Confidentiality Agreement
Buyer’s Questionnaire
Seller’s Questionnaire
Temporary Dentists
Testimonials
Contact Us

Our Mission

Our mission at Shea Practice Transitions is to provide the highest level of experience and expertise in a fair and balanced fashion in order to achieve the goals and objectives of our clients.

Follow Us

Shea Practice Transitions 6750 France Avenue South, Suite 114 • Edina, MN 55435
Twin Cities: 952-920-9411 • Toll-Free: 877-275-2727 • Fax: 952-920-0794

Our Opportunities