Mortgage guide

Dental practice mortgage

A dental practice mortgage is a specialist form of commercial mortgage used to purchase, refinance, or release capital against premises occupied by a dental practice. Dental properties are generally regarded by lenders as low-risk healthcare assets, due to strong demand, stable income, and high professional covenant strength, particularly where income is supported by NHS contracts.

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Dental practice mortgage

A dental practice mortgage is a specialist form of commercial mortgage used to purchase, refinance, or release capital against premises occupied by a dental practice. Dental properties are generally regarded by lenders as low-risk healthcare assets, due to strong demand, stable income, and high professional covenant strength, particularly where income is supported by NHS contracts.

Who Uses Dental Practice Mortgages

Dental practice mortgages are commonly used by:

  • Dentists purchasing their own practice premises
  • Practice owners refinancing existing property debt
  • Dental partnerships or limited companies acquiring surgeries
  • Investors purchasing dental properties let to dental operators

Ownership structures may include sole practitioners, partnerships, LLPs, limited companies, or pension-backed vehicles, all of which are familiar to specialist lenders.

Loan-to-Value (LTV)

Commercial mortgages for dental practices are typically available at up to 70-100% loan-to-value, depending on income security and property quality.

  • Owner-occupied practices with stable income often achieve higher leverage
  • Investment dental properties with long leases can also attract strong terms
  • Highly specialised or bespoke surgeries may be assessed more conservatively

Loan size is often constrained by affordability as well as valuation.

Affordability and Lending Assessment

Affordability is assessed based on whether the practice is owner-occupied or investment-led:

  • Owner-occupied dental practices are underwritten on the practitioner’s income and practice performance, including NHS and private revenue streams.
  • Investment dental practices are assessed on rental income using Debt Service Coverage Ratios (DSCR), with stress testing applied.

For NHS-backed practices, lenders place significant weight on the stability and assignability of NHS contracts.

Valuation Methodology

Dental practice valuations typically follow:

  • Yield-based valuations where the property is let or income-producing
  • Vacant possession valuations for owner-occupied surgeries

Valuers consider lease length, covenant strength, compliance with healthcare standards, and alternative use potential.

Interest Rates and Loan Terms

Dental practice mortgage pricing is often competitive relative to other commercial sectors. Rates and terms are influenced by:

  • Loan-to-value ratio
  • Stability and mix of NHS and private income
  • Borrower experience and financial strength
  • Property specification and compliance

Loan terms typically range from 15 to 40 years, with repayment and interest-only options available.

Dental Practice Mortgage Criteria

Dental practice mortgage lenders will closely assess:

  • Dependence on NHS contracts versus private income
  • CQC compliance and regulatory history
  • Partnership or ownership structure
  • Suitability of the premises for ongoing dental use

Modern, compliant surgeries with stable patient lists are viewed most favourably.

A dental practice mortgage provides long-term commercial funding for dental premises, with lending decisions driven by income stability, professional covenant strength, and property suitability. Well-established dental practices with secure income streams can access competitive commercial mortgage terms at meaningful leverage.

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Commercial mortgage criteria

For context, these are the wider product terms covered by this guide. Availability and eligibility depend on your circumstances and the lender.

Commercial mortgage criteria
CriteriaDetail
Max Loan to Value (LTV)80% LTV Care Home Mortgages, 100% LTV Medical Commercial Mortgages, 75% Commercial Investment
Max TermUp to 40 years
CompletionsFrom 4 weeks
Repayment optionsCapital repayment and Interest only
Commercial mortgage ratesFrom 6.19%
Rate optionsVariable, Base Rate Tracker, 2, 3 or 5 year fixed mortgage options
Valuation methodsGoing concern/Investment (Market value 1, MV1), MV2, MV3 or bricks and mortar
Flexible LeasesRolling leases, weak covenants and short time remaining accepted
Adverse creditAccepted on some products on a case by case basis
LocationsAvailable in England, Scotland, Wales and Northern Ireland
ExperienceNot required on certain products

For context, these are the wider product terms covered by this guide. Availability and eligibility depend on your circumstances and the lender.

Commercial Investment Mortgage Rates November 2026

FeatureDetail
Max Loan to Value (LTV)65%
Product fee5% (4.74% for existing customers)
Fixed rate (5 years)6.34%
Some buy-to-let and commercial mortgages are not regulated by the Financial Conduct Authority.

About the author

Joseph Lane CeMAP is an expert commercial mortgage broker

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Frequently asked questions

What is a commercial mortgage?

A commercial mortgage is an asset-backed loan secured against commercial, semi-commercial or large-scale investment property. Lenders assess it on income sustainability and asset risk rather than personal income multiples, and pricing is set case by case, usually as a margin over Bank Rate.

What deposit does a commercial mortgage need?

On the cases we arrange, investment property typically needs a deposit of 25% to 40%. Owner-occupied retail lending can reach 80% loan-to-value, and on medical, dental and pharmacy transactions we currently see a number of options at up to 100% of an MV3 valuation, so no deposit may be needed on the right case. That reflects our experience of the current market, not a standard lender rule.

Can I get an interest-only commercial mortgage?

Yes, selectively. In our experience interest-only commercial lending typically goes up to 75% loan-to-value, through specialist and challenger lenders, where the income comfortably covers the debt and the exit is credible. High-street lenders generally require capital repayment.

How much can I borrow on a commercial mortgage?

The lower of two caps. The first is affordability: in our experience investment property needs stressed rental coverage of 125% to 145%, and an owner-occupier's business EBITDA must cover the repayments 1.25 to 2 times. The second is loan-to-value, which in our experience runs at 60% to 75% for most sectors.

Is stamp duty different on commercial property?

Yes. In England and Northern Ireland, commercial and mixed-use purchases pay stamp duty at the non-residential SDLT rates, a separate schedule with no additional-dwelling surcharge, so mixed-use classification can change the tax materially. Scotland has its own Land and Buildings Transaction Tax and Wales its own Land Transaction Tax.

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