A dedicated rollout team for DSOs, multi-state operators, and PE-backed dental groups. Centralized brand, distributed local execution, and per-region P&L dashboards — built around how acquisitions actually close, not how agencies like to bill.
A rollout playbook isn't a deck — it's the difference between launching a location in 30 days versus losing six months to brand inconsistency, vendor sprawl, and per-region politics. Pick the shape that matches yours.
You're past the proof-of-concept and into systems territory. The single-practice agency that got you here is now the bottleneck. You need consistent execution across markets, real per-region reporting, and a launch motion that doesn't require an exec to babysit it.
You're rolling up acquired practices onto a single brand and patient acquisition system. Each acquisition is two parallel jobs: rebrand the front-of-house and stand up acquisition before recall revenue softens.
You've grown beyond what one practice manager and a generalist agency can run. You need the first version of a real playbook before the next 5 locations exposes everything that's still tribal knowledge.
Each new location runs through the same five-stage sequence — production-tested across 30+ launches. The team for each stage is named, the day target is fixed, and the deliverable is shippable, not a deck.
NAP audit, demographics, insurance mix, competitor map-pack, service-line priority. We write the per-location playbook brief, not you.
Location page, GBP profile, citation push, schema, conversion tracking, PMS integration, and ad accounts — all from the centralized template, locally tuned.
Cross-browser, mobile, PageSpeed, GBP verification, call tracking, insurance UX, and front-desk script handoff. Nothing live until QA signs off.
Paid live (LSA + Google Ads + Meta), GBP active, organic indexed, dashboards turned on. Launch checklist signed off by the regional lead.
30/60/90 cadence: optimization sprint, recall handoff, patient flow tuning. Location moves from rollout into managed steady-state.
Every location ships with the same six assets, locally tuned. Not "we'll figure it out per market" — fixed deliverables, fixed day targets, fixed owners.
Every location and region rolls into one operational dashboard. Spend, calls, booked, showed, treated, CPA, CAC, and contribution margin — broken out per market. The exec view your CFO actually wants to read.
The five-stage sequence above, codified per role with checklists, day targets, and accountable owners. Same playbook every rollout — only the local content changes.
One brand source-of-truth. Every location page, GBP, ad creative, and email pulls from the same components — so a brand change ships everywhere in hours, not a quarter.
Per-market: GBP, citations, neighborhood pages, geo-targeting, and Local Service Ads. Centralized brand, but every location ranks like a local business — because it is one.
Each location wires into your enterprise PMS — not a duct-taped per-location stack. Booking, recall, insurance pre-qual, and call tracking all attribute back to the same source-of-truth.
The "what's coming next" view your COO needs. Every acquired or new-build location enters the pipeline at intake and exits after the 90-day optimization sprint — with a single owner per stage and a published day target. No more "where are we on Plano?" Slack threads.
Ad accounts, websites, analytics, dashboards, and tracking. We don't lock value inside our walled garden the way most multi-location agencies do — every account is yours from day zero.
Three engagement shapes. Flat per-location rollout fee for setup, then ongoing managed services scaled to active locations. No per-deliverable invoicing, no surprise change-orders.
The per-location rollout fee is paid once, on launch. Ongoing managed fees scale with active locations — so your economics improve as you scale. Most clients see their per-location CAC drop 30–50% by location #10 as the playbook compounds and ad accounts mature.
Apples-to-apples comparison of a Multi-Location Rollout package versus the three alternatives DSOs typically evaluate: a generic multi-location agency, a freelance team, or in-housing the function.
Comparison reflects typical industry quotes for dental DSO programs ≥10 locations as of 2024. Cost ranges include per-location rollout fees and ongoing managed services across acquisition, local SEO, and reporting. In-house cost includes 2 FTEs at fully-loaded comp + tooling.
Three engagements where the playbook was the unlock. Browse the full archive for more across single-location, group, and multi-state operators.
Channels: Google Ads, Local SEO, Recall
Problem: Generalist agency couldn't keep pace with the M&A pipeline; each new location was taking 90+ days and bleeding pre-launch ad spend.
Channels: Google Ads + GBP rebrand + paid social
Problem: Each acquired practice was on a different vendor stack. Recall revenue was at risk during transition; brand chaos was killing local rankings.
Channels: Multi-region paid + local SEO + dashboards
Problem: Region heads couldn't see their own P&L. Spend was opaque, attribution was broken, and the COO was running the business off three spreadsheets.
A DSO rollout is the foundation. These three services are what drive the demand it converts. Most clients stack at least one within 90 days of the first launch.
Google Ads + Meta campaigns that fill the schedule with high-value patients. Avg. CPA $84.
Explore serviceOwn the map pack with GBP optimization, location pages, and citation cleanup tuned for dental search behavior.
Explore serviceBring lapsed patients back without the front desk burning out. Automated email + SMS sequences tied to your PMS.
Explore serviceBook a 30-minute strategy call with a senior dental rollout strategist. We'll review your current rollout cadence, benchmark against the 142 locations we've launched, and quote a per-location plan against your pipeline.
A sampling of recent engagements that match this work.
Smile Design Dentistry, a 50+ location DSO, struggled with inflated ad spend, poor-quality leads, and limited tracking. We restructured PPC accounts, added full-funnel paid social, and created tailored landing pages — resulting in higher lead quality, better ROI, and scalable growth across the network.
A scratch-practice launch with zero digital footprint became one of the highest-reviewed dental brands in their region — 700+ reviews, 280% more Map Pack calls, and 3× search impressions in months.
A premium Carmichael, CA dental spa replaced an outdated, insecure website with a modern HTTPS site, ranked 75 keywords on page-one in 6 months, and grew patient volume 900% over a multi-year program.