Health care · County · Texas
Dentists and orthodontists in Smith County, TX
How Smith County, TX compares with other counties and the U.S. for dentists and orthodontists: competitors, household spending, official counts and growth.
Groundwork market score · out of 100
Score 31 out of 100: Lower middle
Ranked #1,629 of 1,886 scored counties
#101 of 126 scored counties in Texas
- Listings
- 129
- 19 chain locations (15%)
- Official establishments
- 90
- −8.2% since 2019
- Household spending a year
- $92.7M
- On medical and dental services · $1,115 a household
- Spending per listing
- $719K
- 27% below the U.S.
- Listings per 10k households
- 15.5
- 18% above the U.S.
- Population, 2025
- 252,549
- +7.8% since 2020
See the dentists and orthodontists around any address in Smith County
The site report maps the dentists and orthodontists on map listings near the address, by name and distance, and sizes the households and spending around it. Or open the report at the center of Smith County. Signed out, you see a blurred preview; on an account, each report is one action.
Free10 actions over 3 days, no cardSurvey estimates 2020–2024 · population estimates 2025 · official business counts 2023 · map listings September 2026 · Data credits · How we measure
What this means
Smith County scores 31 (lower middle) on the Groundwork market score for dentists and orthodontists, ranking #1,629 of 1,886 scored counties and #101 of 126 scored counties in Texas. That puts it in the bottom quarter of counties.
Map listings as of September 2026 show 129 dentists and orthodontists in Smith County. Chain locations make up 15% of them, against 12% across the U.S. Per 10,000 households, that is 15.5, 18% above the U.S. rate of 13.1.
At $1,115 per household (13% below the U.S. average), households in Smith County spend about $92.7M a year on medical and dental services. That is about $719K of household spending for each practice on map listings, 27% below the U.S. figure of $984K. That spending covers all medical and dental services, which dentists and orthodontists share with other businesses in the trade.
Official counts show 90 businesses with payroll classed as offices of dentists in Smith County in 2023, down 8.2% from 2019. That is one for every 924 households, against one for every 952 across the U.S. Since fiscal 2022, 2 SBA-backed loans worth $1.8M have gone to businesses classed as offices of dentists in Smith County. Between 2020 and 2025, the population of Smith County grew 7.8%, faster than the U.S. (+3.1%).
How Smith County compares
The same measures for Texas and the whole U.S. Spending per listing divides a year of household spending on all medical and dental services by the dentists and orthodontists counted, so it measures the demand for each competitor, not any business’s revenue. Households per establishment does the same with the official count.
| Measure | Smith County | Texas | U.S. |
|---|---|---|---|
| Listings per 10k households | 15.5 | 13.8 | 13.1 |
| Spending per listing | $719K | $842K | $984K |
| Households per official establishment | 924 | 924 | 952 |
| Official establishment growth, 2019–2023 | −8.2% | +1.6% | −0.5% |
| Population growth, 2020–2025 | +7.8% | +8.5% | +3.1% |
| Spending per household on medical and dental services | $1,115 | $1,164 | $1,288 |
| Median household income | $74,192 | $78,476 | $80,734 |
| Groundwork market score | 31 | 33 |
Official counts and lending
Businesses
- Official establishments, 2019 to 2023
- 98 → 90−8.2% over the period
- Employees, 2023
- 857
- Annual payroll, 2023
- $55.8M
- One-person businesses, 2023
- Not publishedNot published for this business type
- Map listings, September 2026
- 12919 chain locations
- Listings at the U.S. rate for this spending
- 94The U.S. ratio of listings to household spending, applied here
SBA-backed loans since fiscal 2022
- Loans
- 2
- Amount
- $1.8M
SBA-backed loans to businesses classed as offices of dentists in Smith County, through June 2026, placed by the borrower’s ZIP code. Official establishments are businesses with payroll; the official counts leave out places with fewer than 3.
Population and households in Smith County
- Population, 2025 estimate
- 252,549+7.8% since 2020
- Households
- 83,134
- Median age
- 38.3
- Homes lived in by their owners
- 69%
- Vehicles per household
- 1.9
- Land area
- 922 sq. mi.
- People per square mile
- 262
- Median household income
- $74,192+30.6% vs. 2015–2019, before inflation
- Average household income
- $97,956
- Median home value
- $240,700
- Jobs located here
- 111,630
- Daytime population
- 252,433Residents who don’t work, plus everyone whose job is here
Looking at a specific site in Smith County?
These figures cover the whole county. A site report draws rings around one address and counts what’s inside them: households, spending, jobs, and the dentists and orthodontists on map listings by name and distance.
Or open the report at the center of Smith County. Signed out, you see a blurred preview; on an account, each report is one action.
Free10 actions over 3 days, no cardDentists and orthodontists across Texas
Every Texas market ranked →The highest-scoring counties in Texas for dentists and orthodontists, numbered among those based in Texas, with Smith County marked.
Top counties in Texas
| Market | Score | Listings | Per 10k households | Spending per listing | Population growth | U.S. rank |
|---|---|---|---|---|---|---|
| 1Chambers County, TX | 91 | 8 | 4.6 | $2.8M | +22.6% | #5 of 1,886 |
| 2Upshur County, TX | 80 | 7 | 4.5 | $2.3M | +8.2% | #68 of 1,886 |
| 3Aransas County, TX | 78 | 6 | 4.8 | $2.3M | +9.3% | #94 of 1,886 |
| 4Wise County, TX | 78 | 18 | 7.2 | $1.7M | +21.5% | #104 of 1,886 |
| 5Caldwell County, TX | 77 | 11 | 6.6 | $1.6M | +20.0% | #118 of 1,886 |
| 6Milam County, TX | 76 | 5 | 4.9 | $2.1M | +6.0% | #126 of 1,886 |
| 7Polk County, TX | 75 | 9 | 4.6 | $2.2M | +5.9% | #145 of 1,886 |
| 8Hill County, TX | 75 | 7 | 5.1 | $2M | +9.8% | #150 of 1,886 |
| 9Llano County, TX | 75 | 6 | 5.6 | $2M | +9.5% | #151 of 1,886 |
| 10Palo Pinto County, TX | 75 | 6 | 5.3 | $1.9M | +8.2% | #152 of 1,886 |
| 101Smith County, TX | 31 | 129 | 15.5 | $719K | +7.8% | #1,629 of 1,886 |
Other business types in Smith County
Each with its Groundwork market score here, out of 100, where it has one.
Food and drink
Groceries and convenience
Auto
Beauty and personal care
Fitness and classes
Health care
- Doctors, dentists and clinics30
- Dentists and orthodontists31
- Primary care and pediatrics42
- Urgent care and walk-in clinics
- Chiropractors38
- Physical therapy42
- Optometrists and eye care51
Child care
Clothing and laundry
Home services
Real estate
Funeral services
Questions
How many dentists and orthodontists are in Smith County, TX?
There are 129 dentists and orthodontists on map listings in Smith County as of September 2026. 19 of them (15%) are chain locations. The listings count dental practices, orthodontists included. Official counts show 90 businesses with payroll classed as offices of dentists in 2023, down 8.2% from 2019.
How much do households in Smith County, TX spend on medical and dental services?
About $92.7M a year, or $1,115 per household. That is 13% below the U.S. average (an index of 87, where 100 is the U.S. average). Spread across the 129 dentists and orthodontists on map listings, it comes to $719K per practice. The spending figure covers all medical and dental services, not only dentists and orthodontists. It is estimated from the incomes of the 83,134 households in Smith County and national spending patterns by income.
How does Smith County, TX compare with the U.S. for dentists and orthodontists?
Smith County has 15.5 dentists and orthodontists per 10,000 households, 18% above the U.S. rate of 13.1. Spending per practice is $719K, 27% below the U.S. figure of $984K. At the national ratio of dentists and orthodontists to household spending, Smith County would have about 94, against 129 on map listings. There is one business with payroll in the industry for every 924 households, against one for every 952 across the U.S. The official count fell 8.2% from 2019 to 2023, against −0.5% for the U.S.
How fast is Smith County, TX growing?
Population estimates put Smith County at 252,549 people in 2025, up 7.8% since 2020, faster than the U.S. (+3.1%). It has 83,134 households. The median household income in Smith County is $74,192 a year, 8% below the U.S. median of $80,734. That rose 30.6% from the 2015–2019 survey, before inflation.
What is the Groundwork market score?
The Groundwork market score runs from 0 to 100 and compares a market with others of its kind for one business type: states with states, metro areas with metro areas, small-town markets and counties with their own. It weighs household spending per competitor (35%), households per business with payroll (25%), population growth (20%) and spending power (20%), each ranked against those peers. A higher score means that, taken together, the market has more household spending and more households for each business already there, faster population growth and more spending per household than similar markets. It describes a market, not any one site or deal. Smith County scores 31 for dentists and orthodontists (lower middle), #1,629 of 1,886 scored counties.
How can I see the market around a specific site?
Run a Groundwork site report on an address in Smith County. It maps the dentists and orthodontists on map listings near the site and sizes the households and spending within the distance you choose. New accounts get 10 actions over 3 days, no card.
How the score works · Top markets for dentists and orthodontists · All 56 business types in Smith County
Screening a site or an acquisition in Smith County?
A site report maps the competitors on map listings near an address and sizes the households and spending around it.
The button opens the report at the center of Smith County. Signed out, you see a blurred preview; on an account, each report is one action.
This product uses the Census Bureau Data API but is not endorsed or certified by the Census Bureau.
Figures are estimates for research only. Not investment or real estate advice.