Private Practice Playbook

EP 74: What 40 Years in Business Will Teach You

September 1, 2026·54 min
Episode Description from the Publisher

Welcome to the Private Practice Playbook with Jay Geier, where we dive deep into the real challenges and triumphs of life in private dental practice. In this episode, we’re joined by Dr. Mark and Shayne Fixari, co-founders of Fixari Family Dental in Columbus, Ohio — a thriving family business built over four decades. From humble beginnings with little more than vision and determination, Mark and Shayne scaled their practice into a multi-location, community-anchored organization, all while raising seven children and building enduring family traditions. Today, they share candid insights on leadership, the importance of embracing mistakes, and the challenges (and joys) of growing a business well beyond the work only the founders can do. Listeners will hear stories about navigating partnership, bouncing back from hiring stumbles, cultivating leadership in young doctors, and building a family culture that’s as intentional as their practice. Whether you’re just starting out or seeking inspiration for long-term growth, this episode delivers wisdom for every stage of the professional and personal journey. Ready to build a stronger team? Schedule a complimentary discovery call at mypgi.com to learn how Practice Growth Institute helps private practice owners build, scale, and exit more profitable practices. And don't miss future episodes — subscribe for podcast alerts at podcastfordoctors.com.    Timestamps: 00:00 Introduction to Private Practice Playbook 06:37 Shayne's role and female empowerment 09:32 Reflecting on key life milestones 11:32 Discussing Personal Strengths 14:37 Treating All People Equally 20:02 Discussing friction in relationships 23:14 Family commitment and gender roles 24:37 Balancing family and business 28:47 Discussing leadership and marriage tips 31:40 Transitioning to Private Practice Authority 34:51 Continuous learning in leadership 40:10 Perfectionism in everyday life 41:44 Focusing on future solutions 45:31 Reflecting on hiring choices 50:13 Ending on personal connections 51:24 Dealing with demand in dentistry

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