Should you become a dentist or a doctor?
Both paths typically start with a bachelor's degree and end in a doctorate — a DDS or DMD versus an MD or DO — then split: physicians must complete 3 to 9 years of residency to qualify for a license, while BLS's baseline is that general dentists need no training after dental school.
Medicine's median pay is higher ($275,930 vs $176,110, May 2025); dentistry offers the shorter path to practice and practice ownership as a normal career stage.
Dentist vs doctor at a glance
Every figure carries its source and date; the sections below unpack each row.
| Dentist | Physician (MD or DO) | |
|---|---|---|
| Degree | DDS or DMD | MD (Doctor of Medicine) or DO (Doctor of Osteopathic Medicine) |
| Before the doctorate | Most dental programs require at least a bachelor's degree plus certain science courses | Bachelor's degree, plus a medical degree that takes an additional 4 years |
| Training after the doctorate | None required for general dentists (BLS baseline); specialists add 2 to 4 years, or 4 to 6 for oral and maxillofacial surgery | 3 to 9 years of internship and residency, required for licensure, plus 1 to 3 more years for a subspecialty fellowship |
| Median pay (May 2025, BLS) | $176,110 all dentists; $170,950 general dentists | $275,930, all specialties combined |
| Hours | Schedules vary; some evenings and weekends; many work less than 40 hours a week | Most work full time; many work long shifts that may include overnight hours or being on call |
| Projected growth, 2025–35 | +6% | +4% |
| Jobs in 2025 | About 161,400, of which 141,900 are general dentists | 862,800 |
Both are licensed doctoral professions, but the degrees and the licenses cover different things.
If the question you are actually asking is whether a dentist counts as a doctor, is a dentist a doctor covers the two degree families, prescribing authority and hospital rules; this page handles the career decision — how long each path takes, what it costs, and what it pays.
Training length: the residency is the difference
The physician path is bachelor's degree, then a medical degree that takes an additional 4 years, then 3 to 9 years in internship and residency programs depending on specialty — and 1 to 3 more years for a subspecialty fellowship.
The residency is not optional: to qualify for a license, physicians must graduate from an accredited medical school and complete residency training in their specialty.
The dentist path ends sooner for general practice.
Most dental programs require applicants to have at least a bachelor's degree and certain science courses before enrolling, and licensure usually requires a DDS or DMD from an accredited program plus written and clinical exams, with requirements varying by state.
BLS's baseline is that general dentists need no additional training after dental school — so for general practice, the timeline ends at the license.
State licensure law adds steps in specific states.
New York requires every applicant for initial dental licensure to complete an approved dental residency program of at least one year, and a clinical examination is not accepted for initial licensure there.
Delaware requires a year as a dental intern in a CODA-accredited general practice residency (or an approved specialty residency) and its own practical examination.
Minnesota, California and Washington, by contrast, accept a completed residency as an optional alternative route to the clinical exam.
The full state-by-state breakdown is on our page on the years to become a dentist.
Dental specialists train after dental school too: specialty training is usually a 2- to 4-year residency in an accredited program, and oral and maxillofacial surgery programs typically take 4 to 6 years and may result in a joint medical degree.
Licensure routes are state law
Debt: two surveys, two different measures
On the dental side, average education debt was $297,800 for 2025 dental graduates who had debt and responded to ADEA's senior survey — up 2% from 2021, a figure not adjusted for inflation — and 82% of respondents graduated with education debt.
On the medical side, AAMC's fact card for the medical school class of 2024 reports median education debt of $205,000 among indebted graduates (mean $212,341), with 71% of graduates holding education debt.
Read those as two separate datapoints, not a head-to-head: one is an average and one is a median, from different graduating classes, counted by different organizations.
The honest summary is that large majorities of both professions' graduates borrow, in the six figures, and the dental average sits above the medical median without the two numbers being directly comparable.
Don't subtract one from the other.
Pay: how the medians compare
The headline gap: BLS put the May 2025 median at $275,930 for physicians and surgeons (all specialties combined) against $176,110 for all dentists and $170,950 for general dentists.
Three things sit behind that headline:
- Specialty mix. BLS's dentist specialty medians — oral and maxillofacial surgeons $352,220, prosthodontists $311,180, orthodontists $289,140 — all sit above the combined physician median, while 'dentists, all other specialists' stands at $224,990, a catch-all category that includes specialties such as endodontics, periodontics and pediatric dentistry, which BLS does not report separately.
- Distribution. For all dentists, the lowest 10 percent earned less than $89,100 and the highest 10 percent more than $337,210. For physicians, the lowest 10 percent earned less than $76,560 and the highest 10 percent more than $488,320 — medicine's top tail reaches further.
- Ownership. BLS's wage survey does not cover the self-employed or owners and partners in unincorporated firms, so the income of self-employed clinicians and owners of unincorporated practices sits outside both medians. ADA HPI's survey of private-practice dentists — a different measure, practice net income rather than a wage — found a 2025 median of $199,010 across all private-practice dentists (average $241,250; 778 responses) and $258,880 for specialists.
For what employers advertise: dentist listings on DentistryHires showed a median of $225,000 a year among those stating annual pay (143 employers, 377 listings, October 22, 2026).
That is advertised pay, not earnings — and only 28.6% of dentist listings carried a readable hourly or annual pay figure that day.
For full distributions, see the dentist salary page.
Hours and lifestyle
BLS's own descriptions of the two careers diverge.
For physicians and surgeons: most work full time, some work more than 40 hours a week, and many work long shifts that may include irregular and overnight hours or being on call.
For dentists: schedules vary — some work evenings and weekends, many work less than 40 hours a week, and some work considerably more.
ADA survey data puts numbers on the dentist side.
Dentists averaged 35.0 hours per week in the office from 2010 through 2019, and ADA HPI says that rose by 1.2 hours after 2020 — entirely from extra office time not spent treating patients.
Practice owners work 5 more hours per week than employee and associate dentists, on average.
In hours-per-year terms, employed general practitioners averaged 1,518 hours in the dental office in 2025, versus 1,726 hours for GP owners; all dentists averaged 1,675.
What these sources don't quantify is call structure in dentistry — how often dentists take call, and whether it is paid — so we won't invent a comparison there.
What the sourced descriptions support is this: overnight shifts are part of BLS's picture of physician work, and office-hours variability is part of its picture of dental work.
Practice ownership
Dentistry's structural difference is that owning the business is a normal career stage.
BLS describes dentists' work arrangements as owning a business alone or with a small staff, being a partner in a practice, or working as an associate dentist for an established practice.
By ADA HPI's count, 73% of dentists were practice owners in 2023, down from 85% in 2005 — and HPI concludes that ownership 'appears to be the endgame for most dentists' but now takes longer, particularly for those who graduated since 2011.
It publishes no single 'typical years to ownership' figure, so beware of anyone quoting one.
Ownership shows up in income as well: in ADA HPI's survey, general practitioner owners reported a median 2025 net income of $199,140 (average $228,980; 521 responses), versus $165,520 for employed general practitioners.
Again, that is net income from a practice, not a wage — and it reaches owners the wage medians above can miss.
The survey behind them does not cover the self-employed or owners and partners in unincorporated firms, and the same exclusion applies to the physician figures.
On the medical side, our sourced figures don't include physician ownership rates, so this page won't compare them.
What the numbers do establish: a dentist who wants to own a practice is choosing a path most of the profession has taken — though HPI says the process now takes longer, particularly for those who graduated since 2011.
Other health careers to compare
If you are weighing health-care paths generally, two other doctoral professions come up in the same searches, and BLS covers both:
| Career | Median pay, May 2025 (BLS) | Typical training | Projected growth 2025–35 |
|---|---|---|---|
| Dentist (all) | $176,110 | Bachelor's, then a DDS or DMD; no residency for general practice | +6% |
| Physicians and surgeons | $275,930 | Bachelor's, 4-year medical degree, then 3 to 9 years of residency | +4% |
| Pharmacist | $140,910 | Pharm.D., usually 4 years after at least 2 years of undergraduate prerequisites | +5% |
| Optometrist | $136,570 | O.D., a 4-year program, after at least 3 years of undergraduate study | +10% |
Two honest notes.
Physician assistants and nurse anesthetists also show up in these comparisons, but we don't have verified wage figures for them in our sources, so we are not quoting any.
And if you stay in dentistry, the comparison inside the profession — dentist vs hygienist — is the one to read next.
For pay across every dental role in one place, see dental jobs ranked by pay.
Dentist vs doctor salary comparison table
The salary figures in one table.
Read it row by row — BLS wages, ADA net income and advertised listing pay are three different measures and don't mix.
| Measure | Dentists | Physicians and surgeons |
|---|---|---|
| Median wage, May 2025 (BLS) | $176,110 all dentists; $170,950 general | $275,930, all specialties combined |
| Lowest 10 percent (BLS) | Less than $89,100 | Less than $76,560 |
| Highest 10 percent (BLS) | More than $337,210 | More than $488,320 |
| Specialist medians (BLS) | OMS $352,220; prosthodontists $311,180; orthodontists $289,140; other specialists $224,990 | Included in the combined median above |
| Median net income, private practice (ADA HPI, 2025 survey) | $199,010 all dentists; $258,880 specialists | Not covered by this survey |
| Advertised pay, DentistryHires listings (October 22, 2026) | $225,000 median annual (377 listings stating annual pay) | Not applicable — the board lists dental jobs |
The specialty rows make the sharpest point in the comparison: the highest-paying dental specialties out-earn the combined physician median, even though physicians as a whole out-earn dentists as a whole.
Which row applies to you depends on which kind of clinician you would become.
Training time vs pay
The trade, laid out: medicine pays the higher median, but its license is gated behind residency — to qualify for a license, physicians must graduate from an accredited medical school and complete residency training, which BLS counts at 3 to 9 years depending on specialty.
Dentistry's general-practice license carries no such gate: BLS's baseline is no additional training after dental school, except the state requirements named above.
Specialist dentistry mirrors medicine's structure in miniature: 2 to 4 extra training years (4 to 6 for oral and maxillofacial surgery, which may add a joint medical degree), and the specialist medians clear the general dentist median — oral and maxillofacial surgeons at $352,220 against $170,950 for general dentists.
Outlook runs in dentistry's favor on growth rates: BLS projects dentist employment to grow 6 percent from 2025 to 2035 — faster than the 3 percent all-occupation average — and physician employment 4 percent, which BLS calls about as fast as that average.
That is about 4,800 dentist openings a year against about 22,100 physician openings, from a much larger 2025 job base (862,800 physician jobs against about 161,400 dentist jobs).
These figures don't price the residency years themselves, and they don't include tuition — so they can't tell you which path pays more per year of your life.
Treat any return-on-investment figure you see elsewhere as unverified.
Which should you choose: dentist or doctor?
Neither career dominates the other on the numbers, so the decision comes down to which trade you would rather make:
- If the residency gate is the dealbreaker, dentistry wins. General dental practice starts at the license — no required residency in BLS's baseline — while a physician's license waits on 3 to 9 years of residency.
- If you want the wider ceiling, medicine pays it. The combined physician median ($275,930) and top tail (more than $488,320) clear the all-dentists figures ($176,110 median, more than $337,210 at the top tenth).
- Debt is heavy in both, measured differently. An average of $297,800 among indebted 2025 dental grads; a median of $205,000 among indebted 2024 medical grads — large borrowing is the norm either way.
- Factor the schedule. BLS's physician description includes long shifts with overnight hours and call; its dentist description centers on variable office schedules, many under 40 hours.
- Ownership is dentistry's lever. 73% of dentists were practice owners in 2023, and GP owners' median net income ($199,140) ran above employed GPs' ($165,520) — net income, a different measure from the BLS wages above.
If dentistry wins the comparison, start at our dentist careers hub, and see what dental job benefits look like in real listings before you compare offers.
This article is general career information, not clinical, legal or financial advice. Licensing requirements vary by state — confirm them with the state dental board or medical board where you plan to practice.

