30 #1 Rankings From a Single Kirkland Practice
A single location that replaced its national marketing vendor, took the top of Google for 30 local keywords, and became the practice AI names first when patients ask who to see in Kirkland.
The Practice Grew. Its National Agency Didn't.
As the practice took on a second dentist, its national marketing vendor could not keep up. Results were thin, there was little proactivity, and the reporting never made clear what was working. The practice wanted a partner to own strategy, execution, and growth, not send a monthly summary.
How did a single Kirkland practice reach 30 #1 rankings and lead AI search?
By targeting every service it offers across Kirkland and the surrounding areas, building authoritative citations and links, restructuring the site for search, running an active review engine, and managing paid and AI search together.
The combined effect was 10,490 tracked patient leads in a year, about 874 a month, 30 keywords at #1, and the #1 AI share of voice in its market.
Four Pillars, Built in the Right Order
Run continuously as a growth program, not a one-time project.
Brand and website
A memorable brand and a responsive site redesigned around the patient experience, on an SEO-friendly structure so search engines clearly understand what the practice does.
SEO and authority
Location plus service targeting across the full treatment list, backed by industry-relevant directories, press, and authoritative backlinks.
A review engine
A review funnel that more than doubled new-patient reviews, feeding both the Google Business Profile and the trust signals AI assistants read.
Paid search, Local Service Ads, and AI
Full Google Ads, Bing Ads, and Local Service Ads management with call and lead tracking, conversion-focused landing pages with split testing, and content structured so AI assistants cite the practice.
The Most Visible Dentist in Kirkland
The most visible dentist in Kirkland, across Google and AI search alike, growing on patient demand from every channel rather than any single source.

Every engagement is founder-led. You work directly with Tyson, not an account rotation.
About Tyson Downs →How Does Your Practice Compare?
The Dental Marketing Scorecard grades your website, local search, reviews, and ads against what practices like this one have in place.
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