Groundwork

Health care · Small-town market · South Dakota

Medical and dental practices in the Pierre, SD area

How the Pierre, SD area compares with other small-town markets and the U.S. for medical and dental practices: competitors, household spending, official counts and growth.

Groundwork market score · out of 100

Score 45 out of 100: Lower middle

Ranked #328 of 538 scored small-town markets
#8 of 9 scored small-town markets based in South Dakota

Listings
74
1 chain location (1%)
Official establishments
29
+17.4% since 2019
Household spending a year
$12.4M
On medical and dental services · $1,447 a household
Spending per listing
$167K
10% above the U.S.
Listings per 10k households
86.6
2% above the U.S.
Population, 2025
20,588
−0.5% since 2020

See the medical and dental practices around any address in the Pierre area

The site report maps the medical and dental practices 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 the Pierre area. Signed out, you see a blurred preview; on an account, each report is one action.

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Survey estimates 2020–2024 · population estimates 2025 · official business counts 2023 · map listings September 2026 · Data credits · How we measure

What this means

Households in the Pierre area spend about $12.4M a year on medical and dental services, or $1,447 per household, 12% above the U.S. average. That is about $167K of household spending for each practice on map listings, 10% above the U.S. figure of $152K.

There are 74 medical and dental practices on map listings in the Pierre area as of September 2026. One of them (1%) is a chain location, against 11% across the U.S. That comes to 86.6 for every 10,000 households, 2% above the U.S. rate of 84.5.

The official count of businesses with payroll classed as offices of physicians, dentists, chiropractors, optometrists and therapists, and urgent care centers in the Pierre area was 29 in 2023, up 17.4% from 2019. That is one for every 295 households, against one for every 270 across the U.S. Another 18 one-person businesses have no payroll, by official counts. Since fiscal 2022, 2 SBA-backed loans worth $756K have gone to businesses classed as offices of physicians, dentists, chiropractors, optometrists and therapists, and urgent care centers in the Pierre area.

Population estimates show the Pierre area declined 0.5% from 2020 to 2025, against +3.1% for the U.S. The Groundwork market score for medical and dental practices in the Pierre area is 45 (lower middle), #328 of 538 scored small-town markets and #8 of 9 scored small-town markets based in South Dakota.

How the Pierre area compares

The same measures for South Dakota and the whole U.S. Spending per listing divides a year of household spending on all medical and dental services by the medical and dental practices counted, so it measures the demand for each competitor, not any business’s revenue. Households per establishment does the same with the official count.

Doctors, dentists and clinics in Pierre, SD area compared with South Dakota and the U.S.
MeasurePierre areaSouth DakotaU.S.
Listings per 10k households86.674.684.5
Spending per listing$167K$188K$152K
Households per official establishment295312270
Official establishment growth, 2019–2023+17.4%+12.3%+1.5%
Population growth, 2020–2025−0.5%+5.3%+3.1%
Spending per household on medical and dental services$1,447$1,402$1,288
Median household income$81,645$75,081$80,734
Groundwork market score4577

Official counts and lending

Businesses

Official establishments, 2019 to 2023
29+17.4% over the period
Employees, 2023
333
Annual payroll, 2023
$27.3M
One-person businesses, 2023
18Businesses with no payroll
Map listings, September 2026
741 chain location
Listings at the U.S. rate for this spending
81The U.S. ratio of listings to household spending, applied here

SBA-backed loans since fiscal 2022

Loans
2
Amount
$756K

SBA-backed loans to businesses classed as offices of physicians, dentists, chiropractors, optometrists and therapists, and urgent care centers in the Pierre area, 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 the Pierre area

Population, 2025 estimate
20,588−0.5% since 2020
Households
8,543
Median age
41.5
Homes lived in by their owners
74%
Vehicles per household
1.9
Land area
2,186 sq. mi.
People per square mile
9
Median household income
$81,645+24.3% vs. 2015–2019, before inflation
Average household income
$98,676
Median home value
$237,100
Jobs located here
12,082
Daytime population
22,272Residents who don’t work, plus everyone whose job is here

Looking at a specific site in the Pierre area?

These figures cover the whole small-town market. A site report draws rings around one address and counts what’s inside them: households, spending, jobs, and the medical and dental practices on map listings by name and distance.

Or open the report at the center of the Pierre area. Signed out, you see a blurred preview; on an account, each report is one action.

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Doctors, dentists and clinics across South Dakota

Every South Dakota market ranked →

The highest-scoring small-town markets in South Dakota for medical and dental practices, numbered among those based in South Dakota, with the Pierre area marked.

Top small-town markets in South Dakota

Small-town markets in South Dakota ranked for medical and dental practices by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Huron, SD863343.8$302K+2.4%#8 of 538
2Vermillion, SD722545.1$284K+0.2%#68 of 538
3Brookings, SD718863.8$214K+9.6%#82 of 538
4Mitchell, SD586458.3$228K+0.6%#184 of 538
5Yankton, SD49100103.1$132K+1.5%#283 of 538
6Watertown, SD4610483.0$161K+4.3%#314 of 538
7Spearfish, SD46132109.5$125K+14.0%#319 of 538
8Pierre, SD457486.6$167K−0.5%#328 of 538
9Aberdeen, SD4214379.8$173K−1.5%#347 of 538

Other business types in the Pierre area

Each with its Groundwork market score here, out of 100, where it has one.

Questions

How many medical and dental practices are in the Pierre, SD area?

As of September 2026, map listings count 74 medical and dental practices in the Pierre area. One of them (1%) is a chain location. The listings count every outpatient clinic and practice, and urgent care. Official counts show 29 businesses with payroll classed as offices of physicians, dentists, chiropractors, optometrists and therapists, and urgent care centers in 2023, up 17.4% from 2019. Official counts list 18 one-person businesses without payroll.

How much do households in the Pierre, SD area spend on medical and dental services?

About $12.4M a year, or $1,447 per household. That is 12% above the U.S. average (an index of 112, where 100 is the U.S. average). Spread across the 74 medical and dental practices on map listings, it comes to $167K per practice. It is estimated from the incomes of the 8,543 households in the Pierre area and national spending patterns by income.

How does the Pierre, SD area compare with the U.S. for medical and dental practices?

The Pierre area has 86.6 medical and dental practices per 10,000 households, 2% above the U.S. rate of 84.5. Spending per practice is $167K, 10% above the U.S. figure of $152K. At the U.S. ratio of medical and dental practices to household spending, the Pierre area would have about 81, against 74 on map listings. There is one business with payroll in the industry for every 295 households, against one for every 270 across the U.S. The official count rose 17.4% from 2019 to 2023, against +1.5% for the U.S.

How fast is the Pierre, SD area growing?

Population estimates put the Pierre area at 20,588 people in 2025, down 0.5% since 2020, against +3.1% for the U.S. It has 8,543 households. The median household income in the Pierre area is $81,645 a year, in line with the U.S. median of $80,734. That rose 24.3% 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. A small-town market is a town of 10,000 to 50,000 people and the county or counties tied to it by commuting. 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. The Pierre area scores 45 for medical and dental practices (lower middle), #328 of 538 scored small-town markets.

How can I see the market around a specific site?

Run a Groundwork site report on an address in the Pierre area. It maps the medical and dental practices 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 medical and dental practices · All 56 business types in the Pierre area

Screening a site or an acquisition in the Pierre area?

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 the Pierre area. 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.