A search for an orthodontist was checked from 23 spots around South St in Isleworth. Overall, TOOTHism Dental is far down the list in most places. It comes up first right by the practice, then drops far down as you move out, especially towards Brentford, Hounslow and Twickenham. Each dot is one of those spots; Green means the practice is in the top three there.
This may mean someone searching a little farther away may simply not come across your practice.

From the same search around South St in Isleworth, Richmond Orthodontics appears further out than TOOTHism Dental, so broader local reach here looks achievable.
This is the same search from the same spots around your practice, so you can read the two maps side by side.
This suggests a wider local presence is reachable around South St in Isleworth, if both practices offer the same services.

This estimate suggests most people reaching your site through Google were already looking for you, for example 'toothism'.
Next, we look at which searches bring people to you without your name.

These are searches from people who do not know your name yet. The one that brings people in is about general dental care, rather than orthodontics.
The key point is that the page bringing in new people is about another service of your practice. Someone looking for orthodontics around South St in Isleworth does not arrive this way yet, and that gap is the finding.

What follows is a fair summary: real strengths that are worth protecting, and a few gaps worth attention. Both sides are ordinary practice problems, and each one is workable.
I used to run clinics myself, so a call is really two colleagues reading the same page together. None of this needs doing at once; each piece works on its own.
Patients choose before they call: from the first names on the map, from the first results on Google. My team rebuilds what decides that, your Google listing and the pages a patient lands on, and keeps it up every month. Here is what happens if you reply.
WhatsApp or a voice note. Tell me which part of this page matters most to you. I reply myself.
We agree the priorities and what Forge will deliver, in writing. It is the only real time this asks of you.
Your Google listing and the pages a new patient lands on. Fixed before anything is built on top.
Kept up month after month. You watch it in a shared table, with a regular call, and your own people kept in the loop.
Four practices, four kinds of work. Delivered, not promised.
See the projectsEvery page about implants rebuilt, down to the questions patients ask before deciding. Kept up month after month.
The page patients land on before they book, her Google advertising, and a weekly letter to the colleagues who refer to her.
Every question his patients ask, mapped, then written and linked from his own publications.
His whole site reviewed page by page, and the three-month plan, city by city.
For a given specialty. So we do not work with the practice on the second map above, and would not while working with you.
Then very little: the odd decision, and your clinical eye where it matters.
If you stop, you keep all of it. No minimum term.
Agreed in writing. Nobody honest can promise you a position on Google, and we will not.
I'm a doctor. I used to run a group of clinics, and I know this part of the job is not why anyone chooses medicine. Today my team does it for practices like yours: the research, the writing and the set-up. You come in only where clinical knowledge matters.

WhatsApp or voice note: +33 7 43 69 81 74. Tell me which part of this page you want to understand better. I reply myself. This page was made for your practice only, and it comes down 32 days after it was published.
The questions practitioners actually ask me after a page like this.