Dentist June 27, 2025

By Editoral Team

Urban vs Rural Practice: What Dentists Should Know Before Choosing

Choosing between an urban or rural practice is one of the most significant decisions dentists make when shaping their career paths. With locum tenens and permanent positions available across both settings, weighing the pros and cons of each can provide clarity on the environment best suited to your professional goals and personal lifestyle. 

This guide dives into the unique considerations of urban and rural dental practices, the growing demand for dental professionals, and how locum tenens positions can offer flexibility in navigating these career choices. 

Dentist Jobs

Exploring Urban Dental Practices 

Benefits of Urban Settings 

Urban practices typically come with the perks of working in densely populated areas. Here’s what most dentists can expect in urban settings: 

  • Higher Patient Volume: Cities house larger populations, meaning a higher flow of patients seeking dental care.
  • Specialization Opportunities: Urban environments demand more specialized care. Whether it’s orthodontics or oral surgery, the opportunity to focus on a niche is abundant.
  • Modern Facilities: State-of-the-art technology and cutting-edge equipment tend to be more prevalent in city-based practices, thanks to larger budgets and competition. 

Challenges of Urban Practices 

While urban practices offer exciting opportunities, certain trade-offs exist: 

  • Higher Competition: Urban areas often have a higher dentist-to-patient ratio, creating a competitive market.
  • Cost of Living: Setting up or renting a practice space in a city comes with high real estate and operational expenses.
  • Patient Connection: With busier schedules and higher patient turnover, forming long-term bonds may be more challenging. 

Highlights of Rural Dental Practices 

Benefits of Rural Settings 

Rural dental practices have unique advantages, particularly for dentists eager to make an impact. Highlights include: 

  • Addressing Care Shortages: According to the Health Resources and Services Administration (HRSA), rural areas are critically underserved, with a dentist-to-population ratio of less than 1 per 5,000 people in many regions. Choosing rural practice means filling this vital gap. 
  • Stronger Community Bonds: With a smaller patient pool, rural dentists often build long-standing relationships with their patients. 
  • Cost-Effective Operations: Lower operational costs and an affordable quality of life help offset challenges like smaller revenues compared to urban settings. 

Challenges of Rural Practices 

While rewarding, rural settings require adaptation: 

  • Limited Access to Technology: Some rural clinics may lack advanced equipment due to budget constraints. 
  • Professional Isolation: Rural practices often lack access to the larger dental networks and peer communities common in urban settings. 
  • Recruitment Struggles: Attracting skilled staff to remote areas can be difficult. 
See Also
Dental Licensure Requirements by State


How Demand Shapes Your Decision 

The dental industry is seeing robust demand for professionals in both urban and rural zones. HRSA estimates that over 6,888 dental shortage areas exist across the U.S., affecting nearly 59 million people. To eliminate these shortages, an additional 10,093 dentists are needed nationwide. 

States like Florida, California, and Texas face intense shortages in urban areas, while rural states like Tennessee and Arizona suffer from significant care gaps. 

Given the level of need, entering the right market may not only grow your practice but also allow you to make a profound impact on oral healthcare access. 

Finding the Best Fit for Your Dentist Career 

Before choosing between an urban or rural practice, consider the following factors: 

  • Professional Goals: Are you looking to specialize or provide general dental services? Urban environments cater to specialization, while rural areas may require broader care expertise. 
  • Personal Preferences: Is your lifestyle better suited to the fast pace of a city or the quieter, community-centric life in rural areas? 
  • Resources and Support: Consider if you’d prefer access to advanced technology and networks in urban settings or community-focused incentives like loan repayment programs in rural areas. 

Next Steps for Aspiring Dentists 

Whether you decide on a bustling urban practice, the unique opportunities of a rural setting, or the flexibility of locum tenens jobs, there’s a path to suit every dentist. If you’re still exploring options, working with a professional recruiter can help you identify ideal roles while navigating dental licensing, relocation, and setup processes. 

At AMN Healthcare, we’re here to simplify the process. With access to both locum tenens and permanent dentist positions, our experts can guide you toward opportunities that match your career ambitions and lifestyle. 

Apply Now

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