Scaling 100 Dental Practices Without Losing Their Identity
Can multi-location healthcare brands scale without losing their local identity? Learn how smarter infrastructure, AI search, and patient-focused marketing help...
Listen NowLet’s talk about filling more chairs
Our team will be at Dykema 2026 (July 15-17). If you’re looking to accelerate patient acquisition, centralize your marketing, or finally see real ROI from paid media, let’s meet.
Why meet our team
More locations means more complexity. We can handle both.
We understand the complexity of multi-location growth, the pressure from PE-backed timelines, and the challenge of filling chairs at underperforming locations without blowing your budget.
At Dykema 2026, we want to have a real conversation about what’s working, what isn’t, and where the growth opportunities are in your market.
PEAK DENTAL SERVICES - 60+ locations
Fragmented agencies and zero unified visibility. Here is how we helped
Peak Dental was working with multiple agencies across their locations but with no central strategy and no unified data. We consolidated everything under one roof, restructured their PPC campaigns, fixed technical SEO across their domains, and built custom performance dashboards.
The result: unprecedented patient growth across their entire network, with the infrastructure to scale into new markets.
Cardinal is your growth partner
Performance Marketing built for DSO Scale
Media mix optimization
Our MMM solutions reveal where you’re getting the most value—and where returns are dropping—so you can focus spend on the channels that actually drive results.
Advanced marketing measurement
ROI isn’t guesswork. With our advanced measurement tools (incrementality testing, MMM, causal attribution), you’ll see the true impact of your marketing spend.
Scaling efficiently
Make your next de novo launch or M&A a breeze with custom media strategies for complex brand architectures, competitive markets, and new brands.
Capacity-aligned media strategies
We’re laser-focused on filling appointment books where needed to meet capacity goals across your system. Starved locations get new patients, while you don’t waste ad budget on booked practices.
THE SMILIST - 60+ locations
Dealing with a saturated market, no analytics foundation, and seasonal slumps.
The Smilist had no reliable way to measure what they were spending to acquire a new patient or whether the leads were any good.
We rebuilt their PPC campaigns from the ground up, implemented a proper analytics and attribution foundation, and optimized toward confirmed booked appointments rather than raw clicks.
Since partnering with Cardinal, The Smilist has opened 6 new locations with marketing support on every launch
More results:
- 48% increase in conversation rate
- 19% decrease in cost per lead
- 21% increase in quality leads
SMILE DESIGN DENTISTRY - 50+ locations
How we fixed high spend, low ROI, and a lead quality problem across locations
Smile Design Dentistry was generating a high volume of leads, but the wrong kind. They had inflated spend, stagnant ROI, and no visibility into which locations were actually converting.
We rebuilt their PPC and paid social strategy from scratch, focused spend on bottom-of-funnel high-intent keywords, built out landing pages for each location, and implemented call analytics to optimize toward leads most likely to become actual patients.
They got:
- 22% increase in PPC conversation rate
- 30% decrease in cost per call
DSO Livestream
How North American Dental Group Increased Bookings by 288%
In this webinar, we unpack North American Dental Group’s patient acquisition playbook, which increased bookings by 288%, while decreasing cost-per-booking by 54% YoY.
The key? A scalable, data-driven strategy aligned with practice-level utilization and goals.
