A medical or dental build-out is the most system-heavy interior a commercial contractor builds. Plumbing at every exam room and operatory, medical gas and dental vacuum and air lines, X-ray shielding, ADA clearances everywhere, and finishes that stand up to cleaning.
Wise Builders builds medical and dental suites with licensed specialty subcontractors for the systems that need them: ASSE 6010 certified medical gas installers, a qualified expert for X-ray shielding design, and licensed plumbing, mechanical, and electrical trades. You get one contract and one project manager over all of it.
We hold Alabama General Contractor License #60291. Call (251) 305-7282 before you sign the lease.
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Your equipment list drives this build-out. We get it from you and your equipment dealer first, then design the rooms around it.
Exam rooms with a hand sink, cabinets, and power where the equipment goes. Dental operatories with floor boxes or chases for water, air, vacuum, and power at each chair.
Hand sinks in every clinical room, a sterilization area, lab sinks, and the dental compressor and vacuum room, plus floor trenching when the slab needs it.
Oxygen and nitrous oxide piping for dental and outpatient suites, installed by ASSE 6010 certified medical gas installers and verified before use, following NFPA 99.
Lead-lined drywall or other shielding where a qualified expert's shielding design calls for it. Shielding is designed for your equipment and room layout, not guessed.
Accessible restrooms, doors, hallways, check-in counters, and at least one accessible exam room, with a layout that separates patient and staff traffic.
Sheet vinyl or LVT with welded seams where needed, washable wall finishes, solid-surface counters, and ceilings suited to clinical rooms.
Dentists come to us when they are opening, relocating, or adding chairs.
Medical clients are usually outpatient practices in retail or office buildings.
We are a general contractor, not a medical equipment dealer. On every medical or dental job we bring in licensed specialists for the systems with the highest stakes: medical gas, X-ray shielding, and clinical plumbing. Their work is designed, installed, tested, and documented under our contract and our schedule.
Your equipment dealer sets the rough-in requirements for each chair and each room. We build to those drawings and walk the rough-ins with the dealer before the walls close.
Medical and dental build-outs cost more than offices because of the systems inside the walls. The number of chairs or exam rooms, and whether you need medical gas and X-ray, set the budget.
Typical Gulf Coast ranges. Medical examples are 2,500 square feet; dental examples are 2,000 square feet with 5 operatories. Equipment is not included.
| Project | Cost per Sq Ft | Example Total | On-Site Time |
|---|---|---|---|
| Second-generation medical refreshexisting exam-room plumbing reused | $80 to $140 | $200,000 to $350,000 | 6 to 10 weeks |
| Primary care from a white box6 to 8 exam rooms, sink in each | $150 to $250 | $375,000 to $625,000 | 10 to 16 weeks |
| Specialty or imaginglead-shielded X-ray room, procedure room | $200 to $325 | $500,000 to $810,000 | 12 to 18 weeks |
| Second-generation dentalexisting operatory plumbing reused | $60 to $120 | $120,000 to $240,000 | 6 to 10 weeks |
| Dental from a white box | $150 to $250 | $300,000 to $500,000 | 12 to 18 weeks |
| Dental from a dark shell | $200 to $300 | $400,000 to $600,000 | 14 to 20 weeks |
Per chair, dental construction typically runs $45,000 to $75,000 per operatory including each chair's share of sterilization, halls, and the front desk. Dental equipment for a 4 to 6 operatory practice adds roughly $150,000 to $280,000, and X-ray shielding for a panoramic or cone-beam room roughly $15,000 to $40,000.
Medical and dental jobs carry costs a standard office bid never sees. We price them before you sign.
Alabama requires X-ray room plans to go to the state before construction, along with the qualified expert's shielding report when one is used. That review has to happen before framing.
Oxygen and nitrous systems need certified installers and independent verification before use under NFPA 99. Both are line items, not favors.
Chairs, sterilization, and imaging equipment can take longer to arrive than the build-out takes to finish. The rough-ins have to match the equipment you ordered, so order early.
Ranges are hard construction costs, adjusted to the Gulf Coast from national 2026 data: Cushman & Wakefield Office and Retail Fit-Out Cost Guides, Terrapin Construction Group 2026 tenant improvement and medical office cost guides, and published dental build-out guides. Furniture, equipment, IT cabling, and signage are not included unless noted.
"Jim Brock is the best project manager ever! He constantly communicated with me about the materials, build and timeline. No stones were unturned! Exceptional work by his team."
Every commercial build-out runs through one contract and one project manager. You make decisions; we carry the schedule, the subs, the permits, and the inspections.
We walk the space with you and measure it. We check what is already there: the electrical service, HVAC capacity and duct layout, sprinkler heads, fire alarm devices, restrooms, and the slab. Those existing conditions decide the budget on a medical or dental build-out more than the finishes do.
You get a written scope of work with every task, allowance, and exclusion listed, plus a fixed price and a schedule. We build the price around your equipment list, so the rough-ins in the walls match the chairs and equipment that arrive.
Most commercial permits need drawings, and many need a life-safety plan showing exits, emergency lighting, and fire separation. We bring in the architect or engineer, carry their fee in the price, and keep the drawings tied to the budget.
We file with the department that has your address: Build Mobile inside city limits, Mobile County or Baldwin County for unincorporated addresses, and the city building department in Daphne, Fairhope, Foley, Gulf Shores, Orange Beach, and the other incorporated cities. We also handle the landlord's approval package and certificates of insurance.
Your project manager runs every trade and every inspection. In occupied centers we follow the landlord's rules for access, noise, and after-hours work. If the owner changes the plan or we open a wall and find a problem, it becomes a written change order you approve before we do the work.
We pass the final building and fire inspections, walk the space with you, and finish the punch list. Closeout includes lien waivers, warranties, and the paperwork your landlord and insurer ask for, so you can get your certificate of occupancy and open.
"Great people, great work and great experience. Great communication by William Fields. Work was done on schedule and exactly as stated. I will use these guys again!"
A two-suite tenant build-out at The Wharf in Orange Beach, and two PVC roof retrofits over metal buildings in Mobile County.
See the full build-out on our retail build-out page and both roofs on our commercial roofing page.
You get one project manager from the walk-through to the final inspection. Owner Cody stays involved on commercial jobs, and the office tracks submittals, change orders, and pay applications.
The scope lists every task, allowance, and exclusion. The price changes only through a written change order you sign before the work happens.
Large commercial contractors often pass on spaces under 5,000 square feet. Spaces under 2,500 square feet are our sweet spot, and the job gets a dedicated project manager, not whoever is free.
Wise Builders holds Alabama General Contractor License #60291 from the Alabama Licensing Board for General Contractors. We also hold Alabama Home Builders Licensure Board license #28471, carry general liability and workers' compensation, and are BBB accredited.
Before you sign with anyone, ask for the license number and look it up on the board's website. Ask for a certificate of insurance naming you and your landlord as additional insured. We send ours with the proposal.
"The contract was clear and all work was performed on schedule. A certificate of compliance was issued by a third party after inspection. It is refreshing to find a company like this."
On the Gulf Coast, a dental build-out typically runs $60 to $300 per square foot before equipment: $60 to $120 when you reuse a second-generation dental office, $150 to $250 from a white box, and $200 to $300 from a dark shell. That works out to roughly $45,000 to $75,000 per operatory in construction cost.
A second-generation medical or dental refresh takes 6 to 10 weeks on site. A new practice from a white box takes 10 to 18 weeks, and a dental office from a dark shell up to 20 weeks, after permits and the state X-ray review.
Medical gas piping is installed by ASSE 6010 certified medical gas installers and verified before use, following NFPA 99. We hire and schedule them under our contract.
If you install X-ray equipment, a qualified expert reviews your equipment and room layout and specifies the shielding. We build what the shielding design calls for, which may be lead-lined drywall or may be nothing extra.
Yes. Plumbing at every chair, a compressor and vacuum room, and electrical capacity can make one suite cost far more than another. We walk spaces with you before you sign and show you which one costs less to build.
Yes. We build to the dealer's rough-in drawings and walk the rough-ins with them before the walls close, so every chair and piece of equipment connects on install day.
Your build-out starts with a walk-through and a written, fixed price built around your equipment list and your opening date.
Wise Builders Roofing and Renovations holds Alabama General Contractor License #60291 and brings one project manager, one written scope, and one fixed price to every commercial job in Mobile and Baldwin County.
Call our Mobile headquarters at (251) 305-7282 or our Foley office at (251) 270-5270, or send the form and we will set a walk-through of your space.
Wise Builders Roofing and Renovations, 6215 Rangeline Rd #105, Theodore, AL 36582 and 105 W Camphor Ave #100A, Foley, AL 36535.
"William is great to work with. Wise Builders are extremely thorough and professional. Everything was done exactly how and when they said it would be. A++++"