Ohio SEO and PPC agency with a dental SEO service and published dentist results
About Sixth City Marketing
Sixth City Marketing is a search and web agency headquartered on Crocker Road in Westlake, a suburb of Cleveland, Ohio. It has operated since 2010 and has further offices in downtown Cleveland, Columbus, Pittsburgh, Indianapolis, Chicago and Nashville. John Sammon is founder and CEO. The agency has fewer than 30 people, keeps all work in-house with its own writers, designers and strategists, and gives each client a dedicated account manager and strategist.
The firm has a specific dental SEO service. It starts with a free SEO review, then interviews the dentist as a subject expert so that content reflects real clinical knowledge and supports E-E-A-T signals. Every page is sent back to the dentist for accuracy and compliance before publishing. The rest of the work covers landing page optimisation, technical fixes, backlinks, competitor research, AI search optimisation and smoothing patient intake so that scheduling and insurance details are easy to find. Rankings for cosmetic, pediatric, restorative and orthodontic terms are tracked locally with Local Falcon grid tracking, alongside organic traffic, form fills, calls and chats.
Around SEO, the agency offers PPC for dentists on Google, Bing and social platforms, dental web design, social media, email marketing and CRM consulting for HubSpot, Pipedrive and Salesforce. It advises practices to claim their Google Business Profile, build location pages, respond to reviews and keep phone and contact options on every page.
Its headline dental case study is Dr. Katie Orr, D.D.S., which saw a 538% increase in organic traffic, 50% more leads and a 26% rise in homepage traffic, beating its traffic target by 780%. Testimonials also come from Dr. Paul Mikhli of Beachwood Dental and Troy Walton of Murray Hill Dental. Beyond dentistry, its client base leans towards manufacturers, higher education and home services, with case studies such as Cutting Dynamics and Distinctive Metal Roofing.
On the recognition side, the agency is a Google Partner, an Unbounce and CallRail partner, carries a Moz recommended company badge and a Clutch top dental SEO company badge for Ohio, and was a 2026 finalist in both the US Search Awards and the Search Engine Land Awards. It holds 4.8 on Semrush from 17 reviews, and reviewers on BrightLocal and The Manifest say the team takes time to learn the business before planning, and gives regular monthly SEO updates.
Prices are not published. There is a $1,000 minimum project, hourly rates run $200 to $300, and starting budgets begin at $5,000 for small businesses. It suits established practices and multi-location groups in the Midwest that want a full in-house team across SEO, ads and web.
Sixth City Marketing's Dental SEO Page
Sixth City Marketing at a Glance
| Founded | 2010 |
|---|---|
| Team size | 10-49 employees (fewer than 30) |
| Headquarters | Westlake, Ohio, USA |
| Other offices | Cleveland OH, Columbus OH, Pittsburgh PA, Indianapolis IN, Chicago IL, Nashville TN |
| Leadership | John Sammon (Founder and CEO); Maureen Darrah (SEO Director); Brian Gorman (SEO Director); Steve DiMatteo (Senior SEO Strategist) |
| Languages | English |
| Pricing | Not published; $1,000 minimum project and $200-$300 per hour; starting budgets from $5,000 (small business), $10,000 (medium) and $20,000 (enterprise) |
| Contracts & reporting | Free SEO review before engagement; dedicated account manager and strategist per client; tracking of organic traffic, forms, calls, chats and rankings; monthly SEO updates |
| Tools & partnerships | Google Partner; Unbounce partner; CallRail partner; Local Falcon; Google Analytics; HubSpot; Pipedrive; Salesforce; Mailchimp; Constant Contact; WordPress; Shopify |
Dental Marketing Services
- Dental SEO
- free SEO review and audit
- dentist subject-expert interviews for content
- dentist review of content for accuracy
- landing page optimisation
- technical SEO
- backlink building
- competitor research
- AI search optimisation
- local rank tracking for specialty terms
- patient intake form improvements
- PPC for dentists
- dental web design
- social media management
- email marketing
- CRM consulting
Practice Types They Work With
- general dentistry
- cosmetic
- pediatric
- orthodontics
Dental Clients & Results
- Dr. Katie Orr, D.D.S.: 538% increase in organic traffic, 50% increase in leads, 26% increase in homepage traffic, 780% above traffic goal
Dental Practices They Have Worked With
- Dr. Katie Orr, D.D.S.
- Beachwood Dental
- Murray Hill Dental
Why Dentists Choose Sixth City Marketing
- Manages over $2.1 million in annual ad spend
- Clutch industry list includes dental and medical
- All SEO and PPC work is done in house
- Main office on Crocker Road in Westlake
- Projects start at $1,000 according to Clutch and Semrush
Key Strengths
- Takes time to learn a practice's goals before planning campaigns
- Writes PPC ad copy and builds dedicated landing pages for practice campaigns
- Offers online PR and meta data optimisation for practice pages alongside SEO
Awards & Recognition
- US Search Awards 2026 finalist
- Search Engine Land Awards 2026 finalist
- Moz Recommended SEO Company
- Clutch top dental SEO company in Ohio
How the DSA Score Breaks Down
Points earned: 50.7 of 100 (profile 51 × 0.8 + client feedback 9.9). DSA Score: 90/100
What Clients Say About Sixth City Marketing
- 1 on review sites
- 3 on its website
Clients Most Often Praise
- More new patient bookings 1
- Understanding of dentistry 1
This reviewer says the team takes time to understand the client's business and objectives.
See it on brightlocal.comEVBCO Marketing praises named staff as exceptional at helping with digital needs.
See it on agencies.semrush.comPelagian Controversy recommends the agency to higher-education institutions seeking enrollment growth.
See it on agencies.semrush.comShow 1 more client review
- Jessica Russell calls Sixth City Marketing a tremendous partner. Agency website, Jan 23, 2026
Where Sixth City Marketing Is Listed
Questions Dentists Ask About Sixth City Marketing
Does Sixth City Marketing have a dental SEO service?
Yes. It runs a dedicated dental SEO programme covering content, technical fixes, backlinks, AI search and local rank tracking for cosmetic, pediatric, restorative and orthodontic terms.
What results have they published for dentists?
Dr. Katie Orr, D.D.S., saw a 538% rise in organic traffic, 50% more leads and a 26% rise in homepage traffic. Beachwood Dental and Murray Hill Dental have also given testimonials.
How do they write content for a dental practice?
They interview the dentist as a subject expert to shape content, then send every page back to the dentist to check accuracy and compliance before it goes live.
Is the work outsourced?
No. All SEO, PPC and design work is done in-house by its own team, with a dedicated account manager and strategist for each client.
What does it cost to work with them?
Prices are not published. There is a $1,000 minimum project and hourly rates run $200 to $300, and a free SEO review is offered first.
Where do they work?
The headquarters is in Westlake, Ohio, with offices in Cleveland, Columbus, Pittsburgh, Indianapolis, Chicago and Nashville.
Reviews of Sixth City Marketing
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