Big Sky Northwest

What Big Sky Northwest does

Big Sky Northwest is a privately-held general contractor founded in 2016 and headquartered in Lake Forest Park, Washington, specializing in tenant improvements for dental, veterinary, and medical practices across Washington State. The company delivers buildouts, remodels, and new construction for healthcare practice owners, with project sizes ranging from small 1,700 sq ft startups to large 8,000+ sq ft multi-specialty facilities. Its technical scope includes specialized infrastructure such as medical gas system installation (plumbed nitrous oxide, oxygen, compressed air, vacuum), Category 1 surgical suite construction meeting Washington State Department of Health requirements, and complex multi-operatory dental practices with full utility distribution. The firm reports 100+ completed projects spanning dental specialties (general, pediatric, orthodontic, endodontic, oral surgery, periodontic, prosthodontics), veterinary clinics, and broader medical practices including physical therapy, dermatology, and naturopathic offices.

The business operates on a project-based, fixed-price contracting model with no publicly disclosed standard pricing, since each engagement is custom-designed based on practice type, square footage, and infrastructure complexity. Distribution is direct-to-client and consultative, with no intermediaries or resellers; the principal, Dustin Long, engages practice owners from initial consultation through project completion. Demand generation relies on a combination of an extensive portfolio website, active social media, recurring participation with five Washington State dental societies (WAGD, SKCDS, SCDS, PCDS, UW Dental Alumni Association), speaking engagements (notably SKCDS Boot Camp), and published articles in society publications. Delivery is supported by a recurring design-build partner network spanning at least nine architecture and design firms, plus equipment supply relationships with major dental distributors (Burkhart, Patterson, Henry Schein).

The company is privately held with no disclosed institutional investors, parent entities, or external funding rounds. Its reported headcount of 11-50 employees is consistent with a small, specialized regional contractor. Operating status is active, with no public M&A, restructuring, leadership change, or regulatory events in the source data. Strategic positioning is anchored on three pillars: domain specialization in healthcare construction, deep community embedment within the Washington dental professional ecosystem, and principal-led brand credibility.

Name

Big Sky Northwest

Legal name

Big Sky Northwest

Website

https://bigskynorthwest.com

Company type

Private

Founded year

2016

Operating status

Operating

Headcount range

11–50 employees

Short description

Big Sky Northwest is a Lake Forest Park, Washington general contractor founded in 2016 that specializes in tenant improvements and buildouts for dental, veterinary, and medical practices across Washington State, having completed 100+ healthcare projects.

Ownership category

akta.pro rank

Product category

Healthcare Construction Services

NAICS

Specialty Trade Contractors (238), Building Equipment Contractors (2382)

SIC

General Bldg Contractors - Nonresidential Bldgs (1540)

akta.pro primary industry

Commercial General Contracting (New Build) (IMAFAAAA)

Keywords

• Dental construction services
• Tenant improvements
• Veterinary clinic buildouts
• Medical facility construction
• Healthcare general contracting

Headquarters

HQ city

Lake Forest Park

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Supply Chain, Marketing or Sales, Others

Revenue model

1. Construction/Contracting Services: Project-based construction services for dental, veterinary, and medical tenant improvements. Revenue is generated through fixed-price contracts for buildouts, remodels, and new construction for healthcare practices. Projects range from small 1,700 sq ft startups to large 8,000+ sq ft multi-specialty facilities.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels5 records

Core offering

Big Sky Northwest is a general contractor that builds and renovates tenant improvements for dental, veterinary, and medical practices across the Pacific Northwest. The company delivers end-to-end project execution including medical gas system installation, surgical suite construction, and complex infrastructure buildouts for healthcare practices ranging from small startup offices to large multi-specialty facilities.

Product overview

Big Sky Northwest is a General Contractor specializing in dental, veterinary, and medical construction in the Pacific Northwest. The company offers three core service offerings: Dental Tenant Improvements (their primary focus), Veterinary Tenant Improvements, and Medical Tenant Improvements. Their portfolio spans multiple dental specialties including Endodontic, General Practice, Oral Surgery, Orthodontic, Pediatric, and Periodontic practices, as well as veterinary and general medical facilities throughout Washington State.

Differentiator

Problem solved

Functional benefit

Products and services

• Dental Tenant Improvements General contractor services for dental practice buildouts and renovations covering general, pediatric, orthodontic, endodontic, oral surgery, periodontic, and prosthodontic specialties, including installation of plumbed nitrous oxide, oxygen, compressed air, and vacuum systems.
• Veterinary Tenant Improvements Construction and buildout services for veterinary practices including cat operatories, puppy dormitories, reception areas, surgical suites, and boarding facilities for animal care clinics.
• Medical Tenant Improvements Buildout services for medical professional practices including physical therapy clinics, dermatology offices, naturopathic practices, and other healthcare facilities.

Named customers9 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

18 partnerships are on record, tiered core and minor.

• Washington Academy of General Dentistry (WAGD)coreGTM or Marketing PartnerBig Sky Northwest maintains a partnership with WAGD, appearing in their publications and advertising in WAGD Magazine. The relationship provides visibility within the Washington State general dentistry community.
• Seattle King County Dental Society (SKCDS)coreGTM or Marketing PartnerActive partnership including advertising in SKCDS publications and speaking engagements at SKCDS Boot Camp events. Dustin Long presented on disrupting the dental building industry in the Pacific Northwest.
• Snohomish County Dental SocietycoreGTM or Marketing PartnerPartnership for visibility and referrals within the Snohomish County dental community. Big Sky Northwest appears in society communications and events.
• Pierce County Dental SocietycoreGTM or Marketing PartnerPartnership providing visibility in Pierce County dental community through society advertising and events.
• University of Washington Dental Alumni AssociationcoreGTM or Marketing PartnerFeatured in UW Dental Alumni News publications, providing access to University of Washington-affiliated dental professionals.
• Obsidian DesigncoreImplementation/ SI/ Consulting PartnerRegular design-build partner for dental and medical office projects. Collaborated on multiple projects including Pur Skin Clinic Kirkland location, Lynnwood Periodontics, Lake WA Pediatric Dentistry, Plaza Pointe Dental Specialists, Emerald Pediatric Dentistry, Bainbridge Island Kids Dentistry, and Pure Dental Renton.
• Freiheit ArchitecturecoreImplementation/ SI/ Consulting PartnerOngoing design partner for veterinary and dental projects including The Kids' Dentist Gig Harbor, Kenmore Pediatric Dentistry, Lake WA Physical Therapy, The Tooth Ferry, and Monroe Smiles.
• Magellan ArchitectscoreImplementation/ SI/ Consulting PartnerArchitectural partner for projects including Pur Skin Clinic, Ballard Oral Surgery, and Little Smile Loft.
• Burkhart Dental SupplyminorChannel Partner/ Reseller/ DistributorEquipment provider cited on multiple project pages for dental equipment and supplies including dental chairs, cabinetry, and practice equipment.
• Patterson DentalminorChannel Partner/ Reseller/ DistributorDental equipment supplier referenced for multiple projects including Advanced Kids Dentistry, Plaza Pointe Dental Specialists, Little Smile Loft, and Pure Dental.
• Henry Schein DentalminorChannel Partner/ Reseller/ DistributorDental equipment provider cited for Kenmore Pediatric Dentistry, Olympic Family Dental, and Ballard Oral Surgery projects.
• GGLO DesignminorImplementation/ SI/ Consulting PartnerArchitecture firm for Urban Animal West Seattle veterinary clinic project.
• Hinge StudiosminorImplementation/ SI/ Consulting PartnerArchitecture studio for Shoreline Veterinary Hospital project.
• TGB ArchitectsminorImplementation/ SI/ Consulting PartnerArchitects for Greenwood Physical Therapy project.
• BQC DesignsminorImplementation/ SI/ Consulting PartnerDesign firm for North Seattle Prosthodontics and David Tobias Dental projects.
• Linden Group ArchitectsminorImplementation/ SI/ Consulting PartnerArchitecture firm for Heart of Chelsea Vet Ballard project.
• Curate StudiosminorImplementation/ SI/ Consulting PartnerDesign studio for Olympic Family Dental project.
• DesignLine Dental SystemsminorChannel Partner/ Reseller/ DistributorCustom dental cabinetry provider for Thrive Kids Dentistry project.

Scale indicators2 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Denco Dental Construction: National dental-specialty general contractor performing dental office buildouts, tenant improvements, and conversions for dental practices and DSOs. Closest direct competitor to Big Sky Northwest's dental-construction niche, though operating at significantly larger geographic scale.
• Marlin Construction: Commercial general contractor with strong tenant improvement practice including healthcare and professional office buildouts. Overlaps with Big Sky Northwest in commercial interior construction, though Marlin's portfolio is broader and not dental-specialized.

Others

• Henry Schein: Large dental supply and equipment distributor cited as a vendor on Big Sky Northwest projects. Adjacent ecosystem player, not a competitor, but influences the equipment-installation workflow Big Sky Northwest integrates into its builds.
• Heartland Dental: Largest US dental support organization (DSO) and a major buyer of dental practice buildouts. Not a competitor, but a potential scaled customer whose centralized procurement strategy could shift volume toward larger contractors.
• Patterson Companies: Dental equipment and supply distributor referenced across Big Sky Northwest projects. Adjacent ecosystem participant providing equipment on Big Sky Northwest's job sites.
• Pacific Dental Services: Major US DSO with significant new-office construction demand. Potential large-volume customer; also a structural risk if it consolidates build work with national contractors rather than regional specialists like Big Sky Northwest.
• Burkhart Dental Supply: Regional dental supply distributor (West Coast) referenced on multiple Big Sky Northwest projects. Equipment-supply ecosystem partner rather than competitor.

Regional players

• Sellen Construction: Seattle-based commercial general contractor with healthcare and tenant improvement divisions. Same regional market as Big Sky Northwest and competes for medical/dental fit-out projects though focused more on larger institutional healthcare builds.
• Sierra Construction Company: Pacific Northwest commercial general contractor with tenant improvement capabilities across healthcare, office, and retail. Direct geographic overlap with Big Sky Northwest and competes for healthcare fit-out work in the Seattle metro.

Broad incumbents

• Boldt Construction: Large diversified construction firm with commercial, healthcare, and industrial build capabilities. Not dental-specialized, but competes for larger healthcare projects that pull budget away from specialists like Big Sky Northwest.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xtwitter.com/bigskynorthwest
• Facebookfacebook.com/pg/BigSkyNorthwest
• LinkedInlinkedin.com/company/big-sky-northwest
• Instagraminstagram.com/bigskynorthwest

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Big Sky Northwest