Precision You Can Trust.
Expertise You Can Count On.
You built your practice to focus on patient care. We built our firm to handle the rest. With deep-rooted CPA expertise and a practice focused entirely on dentistry, we deliver the exact financial architecture, tax strategy, and transition planning you need to operate with absolute confidence.
Relationship-Driven Service From a Firm Where Your Practice Is Known by Name, Not by Number.
Precision Dental Consulting and Accounting Services is a specialized accounting, consulting and tax firm focused exclusively on dental professionals. Whether you are a solo practitioner, associate or launching a new practice, we deliver financial clarity, tax efficiency and strategic insight tailored specifically for your profession.
With 25+ years of experience, we support dentists across the country through every stage of practice ownership. From startup to retirement, our team is here to guide your financial growth with accuracy, empathy and expertise. We are not your typical CPA firm. We are your strategic partners in building a thriving dental practice.


Dental Practice Profit Maximization | Meet PDA at SCDA
Production is not profit. Most dental practices misdiagnose margin
problems as marketing problems. Review the four structural levers
that drive real dental practice profit maximization (overhead
architecture,
Strategic Insights, Delivered.
Join a private network of practice owners receiving our monthly tax and operational briefings.
Dental-Specific Financial Services
Proactive and personalized strategies to reduce tax liabilities. Ensure timely and accurate filings.
Customized bookkeeping solutions built for the unique cash flow and operational structure of dental practices.
Expert consulting for buying, selling or merging a practice so you can make confident, profitable decisions.
From entity selection to financial system setup, we help new practice owners start strong.
Ongoing performance monitoring, cash flow management and profitability optimization to drive better business outcomes.
Long-term strategies to protect your wealth, secure your future and create a seamless transition when it is time to step back.
Client Insights
Endorsements of Excellence.
Shannon’s attention to detail and deep knowledge of accounting principles have helped us navigate complex financial situations with confidence and clarity. She is exceptionally organized, prompt, and thorough in her work, ensuring that nothing is overlooked and that we are always in compliance with current regulations.
Beyond her technical skills, Shannon is a true partner to her clients. She takes the time to understand our unique goals and challenges, and she always goes the extra mile to offer proactive solutions and sound advice. Her calm demeanor, clear communication, and genuine care for our success have made her an indispensable part of our team.
If you are seeking an accountant who combines professional excellence with a personal commitment to her clients’ best interests, I wholeheartedly recommend Shannon Duke. She has earned our complete trust and highest regard.
She has functioned as my accountant for dental practice finances and for my personal taxes for several years.Leading up to working with Shannon and when I first became a client of hers: my dental practice had greatly expanded and my business partner of 23 years had just retired, my office building had been bought and sold, and a side business involving rental needed cleaning up with accounting, my husband's business that has complex legal obligations in multiple states needed more scrutiny and expertise, inheritance monies were being distributed, and personal life changes involving adult children and marriage financial issues were all in flux. Wow! I needed help!
Shannon worked out all the above financial issues for me with finesse, efficiency, and she taught me how to look after myself better. She helped me to financially firewall my dental practice and oversaw the splitting up of my large dental practice into smaller separate practices, protecting my assets. This was a very complicated topic, but I knew I was in excellent hands. She also worked with my practice attorney in this matter seamlessly.
I have had many financial conversations with Shannon. She does not nickel and dime me. She charges me a flat rate monthly. Sometimes, I need a lot of help, requiring a large chunk of professional time. Other months, it is less. I really appreciate Shannon's generosity with her time and quick responsiveness when I have concerns and questions. If you would like to speak with me privately about why I highly recommend this excellent accountant, please feel free to call me at (678) 327-9661.
Start the Process
Financial Architecture for the Modern Practice.
True financial clarity doesn’t come from standardized accounting; it comes from a deep, specialized understanding of your industry. We don’t just process numbers—we actively manage the financial health of your practice so you don’t have to.