Health care · County · Virginia
Medical and dental practices in Smyth County, VA
How Smyth County, VA compares with other counties and the U.S. for medical and dental practices: competitors, household spending, official counts and growth.
Groundwork market score · out of 100
Score 33 out of 100: Lower middle
Ranked #1,963 of 2,394 scored counties
#84 of 114 scored counties in Virginia
- Listings
- 60
- 6 chain locations (10%)
- Official establishments
- 28
- −9.7% since 2019
- Household spending a year
- $11.7M
- On medical and dental services · $926 a household
- Spending per listing
- $195K
- 28% above the U.S.
- Listings per 10k households
- 47.4
- 44% below the U.S.
- Population, 2025
- 28,882
- −3.0% since 2020
See the medical and dental practices around any address in Smyth County
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 Smyth 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
Smyth County scores 33 (lower middle) on the Groundwork market score for medical and dental practices, ranking #1,963 of 2,394 scored counties and #84 of 114 scored counties in Virginia. That puts it in the bottom quarter of counties.
At $926 per household (28% below the U.S. average), households in Smyth County spend about $11.7M a year on medical and dental services. That works out to $195K per practice, 28% above the U.S. figure of $152K.
Smyth County has 60 medical and dental practices on map listings as of September 2026. Of those, 6 are chain locations, or 10%, against 11% across the U.S. Per 10,000 households, that is 47.4, 44% below 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 Smyth County was 28 in 2023, down 9.7% from 2019. That is one for every 452 households, against one for every 270 across the U.S. Population estimates show Smyth County declined 3.0% from 2020 to 2025, against +3.1% for the U.S.
How Smyth County compares
The same measures for Virginia 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.
| Measure | Smyth County | Virginia | U.S. |
|---|---|---|---|
| Listings per 10k households | 47.4 | 83.9 | 84.5 |
| Spending per listing | $195K | $151K | $152K |
| Households per official establishment | 452 | 300 | 270 |
| Official establishment growth, 2019–2023 | −9.7% | +0.8% | +1.5% |
| Population growth, 2020–2025 | −3.0% | +2.8% | +3.1% |
| Spending per household on medical and dental services | $926 | $1,264 | $1,288 |
| Median household income | $49,883 | $93,170 | $80,734 |
| Groundwork market score | 33 | 50 |
Official counts and lending
Businesses
- Official establishments, 2019 to 2023
- 31 → 28−9.7% over the period
- Employees, 2023
- 286
- Annual payroll, 2023
- $16.3M
- One-person businesses, 2023
- 11Businesses with no payroll
- Map listings, September 2026
- 606 chain locations
- Listings at the U.S. rate for this spending
- 77The U.S. ratio of listings to household spending, applied here
SBA-backed loans since fiscal 2022
- Loans
- 0
- Amount
- $0
SBA-backed loans to businesses classed as offices of physicians, dentists, chiropractors, optometrists and therapists, and urgent care centers in Smyth 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 Smyth County
- Population, 2025 estimate
- 28,882−3.0% since 2020
- Households
- 12,659
- Median age
- 45.8
- Homes lived in by their owners
- 71%
- Vehicles per household
- 1.9
- Land area
- 451 sq. mi.
- People per square mile
- 65
- Median household income
- $49,883+21.9% vs. 2015–2019, before inflation
- Average household income
- $68,477
- Median home value
- $139,600
- Jobs located here
- 11,597
- Daytime population
- 29,033Residents who don’t work, plus everyone whose job is here
Looking at a specific site in Smyth 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 medical and dental practices on map listings by name and distance.
Or open the report at the center of Smyth County. Signed out, you see a blurred preview; on an account, each report is one action.
Free10 actions over 3 days, no cardDoctors, dentists and clinics across Virginia
Every Virginia market ranked →The highest-scoring counties in Virginia for medical and dental practices, numbered among those based in Virginia, with Smyth County marked.
Top counties in Virginia
| Market | Score | Listings | Per 10k households | Spending per listing | Population growth | U.S. rank |
|---|---|---|---|---|---|---|
| 1New Kent County, VA | 93 | 19 | 20.5 | $666K | +21.2% | #3 of 2,394 |
| 2Goochland County, VA | 89 | 22 | 21.3 | $674K | +17.4% | #7 of 2,394 |
| 3Poquoson city, VA | 88 | 9 | 19.0 | $721K | +6.6% | #9 of 2,394 |
| 4King George County, VA | 88 | 31 | 30.6 | $444K | +10.5% | #12 of 2,394 |
| 5Frederick County, VA | 87 | 58 | 16.4 | $774K | +8.8% | #14 of 2,394 |
| 6Caroline County, VA | 87 | 24 | 20.0 | $591K | +11.3% | #16 of 2,394 |
| 7Louisa County, VA | 85 | 42 | 27.0 | $438K | +13.6% | #35 of 2,394 |
| 8Fluvanna County, VA | 84 | 31 | 30.0 | $408K | +6.2% | #52 of 2,394 |
| 9Clarke County, VA | 83 | 20 | 34.0 | $395K | +5.4% | #63 of 2,394 |
| 10Powhatan County, VA | 83 | 45 | 39.7 | $334K | +7.0% | #68 of 2,394 |
| 84Smyth County, VA | 33 | 60 | 47.4 | $195K | −3.0% | #1,963 of 2,394 |
Other business types in Smyth 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 clinics33
- Dentists and orthodontists46
- Primary care and pediatrics26
- Urgent care and walk-in clinics
- Chiropractors
- Physical therapy
- Optometrists and eye care4
Child care
Clothing and laundry
Home services
Real estate
Funeral services
Questions
How many medical and dental practices are in Smyth County, VA?
Map listings as of September 2026 show 60 medical and dental practices in Smyth County. 6 of them (10%) are chain locations. The listings count every outpatient clinic and practice, and urgent care. Official counts show 28 businesses with payroll classed as offices of physicians, dentists, chiropractors, optometrists and therapists, and urgent care centers in 2023, down 9.7% from 2019. Official counts list 11 one-person businesses without payroll.
How much do households in Smyth County, VA spend on medical and dental services?
About $11.7M a year, or $926 per household. That is 28% below the U.S. average (an index of 72, where 100 is the U.S. average). Spread across the 60 medical and dental practices on map listings, it comes to $195K per practice. It is estimated from the incomes of the 12,659 households in Smyth County and national spending patterns by income.
How does Smyth County, VA compare with the U.S. for medical and dental practices?
Smyth County has 47.4 medical and dental practices per 10,000 households, 44% below the U.S. rate of 84.5. Spending per practice is $195K, 28% above the U.S. figure of $152K. At the U.S. ratio of medical and dental practices to household spending, Smyth County would have about 77, against 60 on map listings. There is one business with payroll in the industry for every 452 households, against one for every 270 across the U.S. The official count fell 9.7% from 2019 to 2023, against +1.5% for the U.S.
How fast is Smyth County, VA growing?
Population estimates put Smyth County at 28,882 people in 2025, down 3.0% since 2020, against +3.1% for the U.S. It has 12,659 households. The median household income in Smyth County is $49,883 a year, 38% below the U.S. median of $80,734. That rose 21.9% 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. Smyth County scores 33 for medical and dental practices (lower middle), #1,963 of 2,394 scored counties.
How can I see the market around a specific site?
Run a Groundwork site report on an address in Smyth County. 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 Smyth County
Screening a site or an acquisition in Smyth 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 Smyth 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.