Accountants for Dentists in London: Guide to Providers (2026)
AC
Acumon Chartered Accountants·12 min read
Dentists in London can choose between dedicated dental accountancy firms and larger practices with established healthcare teams. This guide compares firms covering areas such as associate accounts, practice finances, tax planning, NHS pensions, payroll, acquisitions and sales. It is a practical overview rather than a ranking.
Acumon
Acumon is a UK firm of chartered accountants providing specialist accounting services for dentists, associates, principals and dental practices. The firm works with dental professionals at every stage of their career – from associates navigating self-employment and NHS superannuation through to principals running practices that combine UDA contracts, private and plan income, and those preparing for practice sales. These services are delivered from the firm’s London base, alongside its other UK offices, with a fully UK-based team.
Dental finances follow a distinct career arc with tax and compliance decisions at each stage: associate agreements that HMRC scrutinises against working practices, incorporation questions that arise with rising profits, practice accounts that must reveal true profitability by surgery and income stream, and eventual sales where clean numbers and Business Asset Disposal Relief planning directly affect value. Acumon structures its support around these dental-specific realities rather than generic accounting advice.
The firm prepares associate accounts and tax returns with sector expenses claimed correctly (licence fees, lab bills, indemnity, GDC registration and courses), reconciles NHS superannuation so pension records remain accurate, models incorporation on actual numbers rather than standard templates, and produces practice accounts and management reporting that show which chairs and income streams earn. Payroll, workplace pensions and CQC-related compliance sit alongside the core work. For practice purchases and sales, Acumon handles valuations, due diligence on UDA delivery and associate agreements, and exit structuring planned years in advance.
Accountants for Dentists Capabilities:
Acumon provides specialist dental accounting across the full professional pathway.
These include:
Associate dentists (self-employment status, tax returns and NHS superannuation reconciliation)
Principals and practice owners (practice accounts by surgery and income stream, NHS contracts, private and plan income)
Incorporation planning and execution for associates and principals
Practice payroll, pensions and auto-enrolment for dental teams
Buying and selling dental practices (valuations, due diligence and Business Asset Disposal Relief structuring)
Ongoing tax, accounts and advisory support as practices grow
These services allow the firm to support dentists and practices with the sector’s specific rules, from day-to-day compliance through to major structural and exit decisions.
Regulatory Licences and Registrations:
Acumon holds several audit registrations that enable it to support organisations operating across multiple jurisdictions.
These include:
UK statutory audit registration
Public Interest Entity (PIE) audit licence
Jersey audit licence
Isle of Man audit licence
Cayman Islands audit licence
British Virgin Islands audit licence
These registrations allow the firm to provide audit services to groups that include entities in both the UK and key international financial centres.
Core Services:
In addition to statutory external audit, Acumon provides a range of services that support financial reporting and governance.
These include:
Statutory external audit
Group and subsidiary audits
Public Interest Entity (PIE) audits
Charity and not-for-profit audit
Audit of international group structures
Internal audit and governance reviews
Risk management and compliance support
Audit work is often delivered alongside discussions with management and boards regarding financial reporting processes and governance frameworks.
Many organisations initially encounter statutory audit requirements as they grow and exceed the audit exemption thresholds set out in the Companies Act.
Acumon works with businesses that are:
Approaching their first statutory audit
Preparing for external investment
Expanding into international markets
Operating within corporate group structures
Early engagement with an audit firm can help ensure that financial reporting systems and documentation are aligned with statutory audit requirements.
Address: 1-2 Craven Road, Ealing, London, W5 2UA, UK
Mac Kotecha & Company
Mac Kotecha & Company operates as a specialist dental accountancy practice from Finchley in North London. The family-run firm works with dentists across the UK and has built its client base specifically around the profession rather than treating dentistry as one part of a broad industry portfolio.
Its positioning may suit dentists who want an accountant familiar with the financial and tax issues that arise throughout a dental career. The firm states that it works with more than 300 dentists, providing a sizeable specialist client base alongside its London presence.
Key Facts:
Ideal for: Dentists looking for a London-based accountancy firm focused specifically on the profession
Specialization: Dental accountancy and tax support for dentists across the UK
Address: Lichfield House, 2 Lichfield Grove, London N3 2JP
Dental Accounting
Dental Accounting focuses exclusively on accounting and tax services for dental professionals. Based in London, it works with practice principals, associates, NHS consultants, hygienists, orthodontists, dental nurses and oral therapists, giving the firm a narrowly defined client base within dentistry.
Its services include annual accounts, corporation tax work, directors’ Self Assessment returns, bookkeeping reviews and tax efficiency planning. The dental-only model may appeal to practitioners who prefer their accounting support to come from a team dealing with the same profession on a daily basis.
Key Facts:
Ideal for: Individual dental professionals and practice owners
SIAL Accountants has a dedicated service for dentists and dental practices, working with principals, associates and hygienists in London and elsewhere in the UK. Its dental accounting support brings together routine financial administration and wider business advice.
The firm’s services for the sector include bookkeeping, tax planning, financial reporting and business advisory work. Payroll, PAYE and workplace pension requirements can also be handled, which makes the service relevant to practice owners employing clinical and administrative staff as well as self-employed dental professionals managing their own tax affairs.
Key Facts:
Ideal for: Dental practices, principals, associates and hygienists
Core services: Bookkeeping, tax planning, financial reporting, payroll and business advisory support
Address: 8 Station Parade, High Street, Wanstead, London E11 1QF
RA Accountants
RA Accountants has worked with dentists and dental practices for more than a decade. Its dental service covers different stages of practice ownership, from starting or acquiring a business through growth and longer-term succession planning.
The firm also deals with the interaction between NHS and private income, an important accounting consideration for mixed dental practices. Its wider accountancy services include bookkeeping, management accounts, payroll, year-end accounts and company secretarial work. The Harrow office gives the firm a direct Greater London presence.
Key Facts:
Ideal for: Dental practice owners planning a startup, acquisition, growth or succession
Chris Syrimis & Co provides dedicated dental accountancy services from its central London office. Its work covers NHS and private dentistry, including areas that general accountants may encounter less frequently, such as UDA reconciliations, dental superannuation and the finances of associate arrangements.
The firm also supports practice acquisitions and disposals, valuations, due diligence, goodwill structuring and capital allowance work. For established practices, services extend to benchmarking, KPI reporting and cash-flow planning, making the offering broader than annual compliance and tax return preparation alone.
Key Facts:
Ideal for: Associates, practice principals and dentists buying or selling practices
Core services: Dental accounts, tax planning, UDA reconciliation, superannuation, valuations, due diligence and practice transactions
Fusion Accountants provides accounting support for dentists alongside its wider London accountancy work. The firm has a dedicated dental accountants service and works from locations including Covent Garden and Brentford, giving dental clients access to an accountancy team with an established presence in the capital.
Its broader services include statutory accounts, management accounts, bookkeeping, tax and VAT support. This can suit practice owners who need both routine compliance and ongoing financial reporting, rather than using separate providers for bookkeeping, tax and company accounts.
Key Facts:
Ideal for: Dentists and dental practices wanting accountancy support from a wider London firm
Core services: Statutory accounts, management accounts, bookkeeping, tax and VAT support
Accotax has a dedicated accountancy service for dentists and explicitly works with dental professionals in and around London as well as elsewhere in the UK. The service combines accounting and tax work with cloud-based bookkeeping and financial management support.
The firm works with accounting platforms including Xero, QuickBooks, FreeAgent and Sage, which may be useful for practices moving away from spreadsheet-based record keeping. Its physical presence includes an office in Morden and an appointment location in Chelsea, providing options on both sides of the capital.
Key Facts:
Ideal for: Dentists wanting accounting, tax and cloud bookkeeping support
Core services: Dental accounting, tax support and cloud accounting
Location: Morden, with an appointment office in Chelsea
Address: Suite 112, 65-69 Lots Road London, SW10 0RN
RR Dental Accountants
RR Dental Accountants is focused on the dental sector and works with clients in London as part of its wider UK coverage. Its service structure distinguishes between associates, therapists and hygienists, practice owners and dentists involved in practice acquisitions.
For individual clinicians, support includes Self Assessment, expense claims and NHS pension matters. Practice owners can use the firm for accounts, corporation tax, payroll, VAT, management accounts and tax planning. Acquisition work includes due diligence, valuations, finance applications and advice on transaction structure.
Key Facts:
Ideal for: Dental associates, practice owners and dentists acquiring practices
Core services: Accounts, corporation tax, payroll, VAT, management accounts, NHS pension support and due diligence
Coverage: London and other locations across the UK
Compass Accounts works exclusively with dentists, rather than dividing its attention between unrelated industries. Its accounting model takes into account the mixture of NHS contracts, private earnings and other income streams that can make dental finances different from those of many other owner-managed businesses. The firm also deals with superannuation and tax planning, while providing ongoing guidance rather than limiting contact to the annual accounts deadline.
Key Facts:
Ideal for: Dentists who prefer an accountant working exclusively with the profession
Specialization: NHS and private dental income, superannuation, accounts and tax planning
Sutton Roff provides specialist accounting and tax support for dental professionals and has offices in both central and east London. The firm’s dental work extends beyond annual accounts into areas such as NHS pension tax charges, associate expense reviews and planning around the purchase or sale of a practice.
Other services available to dental clients include Self Assessment, VAT support, cloud bookkeeping and HMRC enquiry assistance. This combination gives individual dentists and practice owners access to support for both routine compliance and more specific financial events during their careers.
Key Facts:
Ideal for: Associates and practice owners needing dental-specific tax and accounting support
Core services: Tax planning, Self Assessment, bookkeeping, VAT, NHS pension matters and practice transaction planning
Location: Central London and Gants Hill, East London
Address: 60 Tottenham Court Road, Suite 4796A, London W1T 2EW
Dental Accountants
Dental Accountants operates from Harrow and concentrates on the financial requirements of the dental profession. Its client groups include principal dentists, foundation dentists, overseas dentists and practice owners, allowing the firm to work with clinicians at several stages of their careers.
Services cover bookkeeping and accounting, periodic financial reporting, tax preparation, payroll, cash-flow management, budgeting and forecasting. The firm also supports practice acquisitions and transitions, business structuring, tax investigations and accounting software setup and training.
Key Facts:
Ideal for: Principal dentists, foundation dentists, overseas dentists and practice owners
Core services: Accounts, bookkeeping, tax, payroll, cash-flow planning, forecasting and acquisition support
Location: Harrow, with services provided nationally
Xeinadin is a larger accountancy group rather than a dental-only practice, but its healthcare work specifically includes dentists. Its London team provides services such as bookkeeping, tax returns and strategic financial planning, while other offices in the group also work with dental professionals across Greater London.
This broader structure may be useful for larger practices that want access to dental knowledge alongside a wider range of tax, advisory and business services. Xeinadin’s London office is on Tottenham Court Road, providing a central base for clients in the capital.
Key Facts:
Ideal for: Dental practices wanting access to a larger multidisciplinary accountancy group
Core services: Bookkeeping, tax compliance, financial planning and wider business advisory support
Location: Central London, with further support across Greater London and the wider UK network
Address: Maple House, Level 5A, 149 Tottenham Court Road, London, W1T 7NF
MHA
MHA combines a London office with a national healthcare team that advises dentists and other healthcare professionals. Its dental-related work covers both compliance and planning, including tax, business structures and the financial questions that can arise as a practice develops.
The healthcare team can assist with cash-flow planning, personal, partnership and corporation tax, VAT, payroll, capital allowances, finance and transactions. NHS pension reconciliation is also part of its healthcare offering. This range may suit established or growing practices that need access to services beyond standard annual accounts.
Key Facts:
Ideal for: Established dental practices requiring accounting, tax and wider business advisory services
Core services: Tax, cash-flow planning, VAT, payroll, capital allowances, M&A support and NHS pension reconciliation
Accountants serving London dentists vary considerably in how narrowly they focus on the profession. Some work almost entirely with dental associates and practices, while larger firms combine dental or healthcare expertise with broader tax, advisory and transaction services.
The right fit depends on what support is actually needed. An associate may mainly need Self Assessment and NHS pension guidance, while a practice owner could require payroll, management accounts, tax planning or help with an acquisition or sale. Location also matters differently for each client, with some preferring regular access to a London office and others comfortable working with a specialist dental accountant on a nationwide basis.
AC
Written by the Acumon team
Acumon is an ICAEW-registered firm of chartered accountants and registered auditors
based in London, with offices in Pitstone, Aylesbury and Bournemouth. Need advice on
anything covered here? Talk to us.
Choosing an accountant for a dentist in Birmingham is more than a matter of filing tax returns – the right support can help dental professionals manage their finances, stay compliant and make…
Statutory Sick Pay (SSP) is the minimum an employer must pay an employee who is too ill to work. For 2026/27 it is £123.25 a week or 80% of the employee's average weekly earnings, whichever is…
A UTR number is your Unique Taxpayer Reference : a 10-digit number HMRC issues when you register for Self Assessment or set up a limited company. It identifies your tax records for Self Assessment…
Read article
Get in Touch
Ready for Accountants Who Move Your Business Forward?
Tell us what you need. Within one business day, a qualified accountant will be in touch to talk it through and give you a clear, fixed-fee quote — no obligation.
We use essential cookies to run this site, plus Google Analytics and Google Ads to
understand how visitors use it and measure our advertising — only with your consent. See our
Privacy Policy.
