Episode 58 · Steven Lynch · 7 Sep 2026 · 60 min

    We Don't Change The Name

    An accountant who did the books for a third of Ireland's dentists is now buying their practices, and refusing to rebrand a single one.

    Trouble playing? Watch on YouTube ↗
    Featured guest

    Steven Lynch

    CEO, Total Dental Ireland
    Steven Lynch is CEO of Total Dental Ireland, a Lonsdale-backed dental group he has grown from its first clinic to ten sites in just over two years, with five more in exclusivity. A chartered accountant by training, he spent almost twenty years as co-founder of MedAccount Services, the specialist accountancy firm that looked after around 35% of the dentists in Ireland, before being asked to lead Lonsdale's expansion into the Irish market.
    Dentistry is not a commodity. It's about people.
    Steven Lynch

    Show notes

    Steven Lynch nearly studied dentistry instead of accountancy. He chose the numbers, trained at BDO in Dublin, turned down a Sydney secondment for the colleague who became his wife, and spent four years in a German bank before a pint with his brother-in-law turned into the UK and Ireland agency for a US tooth-whitening brand. When that distributorship ended overnight, the dentists he'd met asked him to do their accounts, and MedAccount Services was born: a specialist firm that grew to look after around 35% of the dentists in Ireland over the next twenty years.

    Two years ago a former colleague introduced him to Ross Finnigan of Lonsdale, the investor behind Today's Dental in the UK, who wanted to enter the Irish market and asked Steven to lead it. He finished the tax season for his clients, extracted himself from MedAccount, and had his first clinic within weeks. Total Dental Ireland now has ten practices, five more in exclusivity and a central team of eleven, almost all of whom have worked as dental nurses, practice managers or practice consultants. Steven's rule of thumb, borrowed from being a father of four: one to five was hard, seven to ten was easy.

    The conversation digs into what he learned from watching other groups fail (meetings about meetings, and pulling everything into the centre), why he never changes a practice's name, why compliance and regulation is the first thing he fixes and the first item on every board agenda, and why he won't force a cloud PMS on a dentist who would rather keep theirs. On AI he is clear: it is a second opinion, never the first, and its best use right now is making sure a ringing phone never pulls the front desk away from the patient standing in front of them.

    Key takeaways

    • Steven Lynch spent nearly twenty years as co-founder of MedAccount Services, the specialist accountancy that looked after around 35% of Ireland's dentists, before Lonsdale asked him to lead Total Dental Ireland. He had his first clinic within weeks of leaving.
    • Ten sites in just over two years, five more in exclusivity and a target of twenty-plus within around eight months, run by a central team of eleven in which everyone except Steven and his chief people officer has worked inside a dental practice.
    • He avoids high street and "commodity" dentistry entirely, buying conservative, community-focused practices with a loyal returning patient base, including a third-generation practice established in 1916.
    • The one thing Total Dental Ireland never changes is the practice's name. He is buying the history that walks patients through the door, so there is no rebrand and no "flashing lights."
    • Compliance and regulation is the first integration step, run through an in-house task portal, and it is also the first item on every monthly board agenda, ahead of people, profitability, pipeline and policy.
    • He will not force a practice onto the group's cloud PMS if the dentist is happy with theirs: "you're gonna fall out over a PMS?" A functioning, happy practice beats unified reporting.
    • AI is a second opinion, never the first: second-read imaging, digital video consent sent 48 hours before treatment, and virtual phone assistants whose real job is to let front-of-house greet the patient who is actually in the building.
    Stop the leak

    See how much revenue your clinic is leaking.

    Coherent gives private clinics one patient relationship engine, recovering revenue lost at enquiry, recall and billing.