Build-Out & New Construction
Opening a new location is the highest-stakes, highest-anxiety project a practice owner takes on. We design your space from an empty shell to opening day, keeping equipment, code, budget, and timeline aligned the whole way.
Practice owners opening a first or second location in a lease space, or building ground-up — dental, medical, med spa, optometry, and multi-provider.
What's included
- Site and lease-space feasibility (does it fit your program?)
- Full space planning around your equipment and patient flow
- Concept design through construction documents
- Equipment and vendor coordination (operatories, imaging, chairs)
- Code, ADA, and infection-control-conscious detailing
- Permitting support and contractor coordination
A clear sequence.
- 01
Feasibility
Before you sign or build, we confirm the space can hold your program, budget, and timeline.
- 02
Concept + program
We translate how you practice into a floor plan and a clear design direction.
- 03
Design development
Finishes, millwork, lighting, and equipment locations are resolved together.
- 04
Documents + permit
Construction documents and the support needed to get through plan check.
- 05
Build + open
We coordinate with your GC and vendors through construction to opening day.
Design leadership, accountable through construction.
We design and document the project and coordinate closely with your general contractor, equipment reps, and engineers. Nickerson does not self-perform construction; instead we provide complete, buildable documents, manage the design side of permitting, and can connect you with vetted partner GCs and permit expediters — so you get accountable design leadership without a markup on construction.
Want to talk specifics? Book a design consult and we'll map your project's path from here.
Questions about this service
- In Southern California, practice build-outs commonly run a wide range per square foot depending on finish level, equipment, and base-building conditions. Use our cost estimator for an instant directional range, then we refine it together during feasibility.
- Yes. We coordinate operatory layouts, imaging, plumbing, and electrical with your equipment vendors early, so the space is built right the first time.
Ready to start your space?
Book a design consult — a calm, focused conversation about your project, budget, and timeline. No pressure, no jargon.