Practice Design Group (PDG) was formed in 2002 by Jeff Carter, DDS and Pat Carter, IIDA to provide design services to dentists seeking a professional and collaborative alternative to the services offered by traditional providers. PDG and PRA first started working together in 2012, and the relationship blossomed over many projects. Practice Design Group and Plunkett Raysich Architects worked successfully for many years as strategic partners. In 2024, PRA and PDG formally merged to provide fully integrated design solutions to dentists and dental specialists throughout the nation.

Align Architecture & Planning, PLC (Align) has been serving Iowa and surrounding areas for over 70 years.  Align offers architecture, landscape architecture and master planning services in a variety of markets, and is committed to cultivating strong, professional relationships by providing client-centric and value-conscious design. Align and PRA became strategic partners in 2009 and have since been providing complimentary services to clients in Iowa.