Plunkett Raysich Architects, LLP, was established in 1935 by founder Henry Plunkett. More than 90 years later, PRA is a multi-faceted firm specializing in projects that comprise the essence of communities — where you live, work, play, learn, worship, collaborate, and retire. We are passionate about turning our clients’ aspirations into reality.
Our firm consists of experienced staff led by partners, with offices in Milwaukee, WI, Madison, WI, Waterloo, IA, Sarasota, FL, and Austin, TX. Our staff is organized into a studio format to better concentrate resources, experience, and creative synergy on client projects. We work together in teams across offices and studios to deliver excellent results for our clients. Our studios are comprised of Civic, Corporate, Healthcare/Dental, Higher Education, Hospitality, Interior Design, Early Learning, K-12, Religious, Residential, and Senior Living.
Every dental project is unique, but they all begin with a critical approach. We start by listening—closely. Understanding your clinical goals, operational challenges, and long-term vision is essential to shaping a space that truly supports your practice.
From there, we combine thoughtful analysis, best practice planning, and collaborative dialogue with your care team, vendors, and builder to craft a solution tailored specifically to your needs. We design with intention, guided by clinical standards and operational efficiency, while never losing sight of the human experience at the heart of every dental practice.
For us, creating compelling dental environments goes far beyond the design process. We strive to understand our clients’ industry and objectives inside and out. We internalize client needs so that we can best collaborate projects that inspire, innovate, and influence.
Our goal is simple: to design spaces that empower you and your care team to deliver exceptional dental care— today and well into the future.
Choosing PRA to design your dental facility means partnering with a firm that understands the unique needs of dental practices—functionally, technically, and aesthetically. We bring a tailored approach to every project, combining deep knowledge of dental workflow requirements with a passion for thoughtful, patient-centered design. From sterilization rooms and operatory layouts to patient comfort and practice branding, PRA focuses on every detail that contributes to the success of your practice.
Initial Project Assessment
Site Consultation/Planning
Space Planning/Test Fits
Functional Programming
Master Planning
Feasibility Studies
LEED®/Sustainable Design and Planning
Visioning and Facility Branding
Concept Development
Preliminary Design
Schematic Design
Construction Drawings and Specifications
Engineering Coordination
Building Information Modeling / 3D Modeling
Code Compliance Consultancy
Material and Color Selections
Furniture Selection and Procurement
Furniture and Finishes Standards
Lighting
Art and Accessory Selection
Exterior and Interior Signage
Window Treatments
Contractor Selection
Bidding Review
Construction Administration
Product Review
Schedule Tracking
Quality Assurance
Post Occupancy Evaluation
We recognize that many dentists begin the design of their facilities through dental equipment representatives or dealer-provided “in-house” floor plans. While this can be a convenient starting point, those who have experienced limitations with this approach—or who seek a more personalized, thoughtful process—often find greater value in partnering with a dental specialty architect.
The core of our design philosophy is collaboration. We work closely with you, your care team, equipment vendors, and builders to create a facility that functions seamlessly and reflects your unique vision. This integrated approach ensures that every aspect of your practice—from layout to equipment to lighting—aligns with your clinical goals, practice culture, and the patient experience you want to provide.
Our designs are not only operationally efficient but are also future-ready and brand-conscious—supporting your growth while strengthening your identity in the marketplace.
One of the first steps in refining your practice vision is gaining a clear understanding of how your current space supports—or hinders—your day-to-day operations. Our process begins with an on-site visit, where we immerse ourselves in your practice environment. By observing your team in action and engaging directly with you, we uncover how your facility functions in real time.
We study the full spectrum of activity flow—from patient check-in and waiting areas to treatment rooms, sterilization zones, and support spaces. Watching how your team moves and interacts within the environment often reveals hidden inefficiencies, bottlenecks, and opportunities for improvement that floor plans alone can't convey.
We listen. We engage with the entire care team—dentists, hygienists, assistants, and administrative staff—to understand their roles, challenges, and goals. These conversations frequently uncover functional needs, preferences for equipment placement, and critical insights into patient care and workflow.
We also examine the patient journey: how patients enter, move through, and exit your practice. Optimizing this flow enhances privacy, comfort, and the overall experience—key factors in patient satisfaction and retention.
By combining direct observation, team input, and operational analysis, we develop a comprehensive understanding of your practice. This collaborative foundation allows us to design a space that improves efficiency, strengthens your brand and culture, and ultimately elevates the quality of care you provide.
Across the dental industry, there is a growing trend toward providing general anesthesia services within dental facilities—a shift driven by patient needs and the increasing complexity of dental procedures. More dental practices are expanding their capabilities to include office-based general anesthesia, particularly for pediatric, special needs, and high-anxiety patients, as well as for oral surgery and complex restorative procedures. This evolution allows dental practices to streamline care delivery, limit hospital dependencies, and create a more efficient, patient-friendly experience through better scheduling and continuity of care.
However, integrating general anesthesia into a dental facility requires careful attention to infrastructure, safety, and regulatory compliance. Spaces must accommodate medical gas redundancy, emergency power, and specialized HVAC and ventilation requirements. Workflow design must also ensure clear separation between sterile and non-sterile zones, safe recovery areas, and rapid access for emergency response. These demands align closely with design principles long established in hospital and outpatient surgery settings.
PRA’s experience in healthcare design—particularly in hospital and ambulatory surgery center projects—brings valuable crossover insight to these evolving dental environments. Our familiarity with navigating life safety codes, interactions with authorities having jurisdiction, infection control standards, and operating room infrastructure ensures that your facility will be compliant with both dental and surgical standards while maintaining a thoughtful balance of aesthetics, safety, and patient comfort.
Oral Surgery Associates
At PRA, architecture and interior design are not separate disciplines—they are fully integrated from start to finish. This holistic collaboration allows us to create dental spaces that are cost-effective, highly functional, and visually compelling.
We understand that most dentists aren’t trained to interpret floor plans or construction drawings, and that the design and building process can feel overwhelming. That’s why we bring clarity and structure through the use of advanced planning and visualization tools. Seeing your future space in 3D—with realistic finishes and lighting— makes it easier to identify design challenges, explore alternatives, and make confident, informed decisions.
Exterior and Interior finish selection plays a critical role in the success of any dental facility. The right materials, thoughtfully placed, enhance both aesthetics and performance. Our goal is two-fold: to ensure material choices align with clinical demands and to ensure they reflect and reinforce your practice brand.
All of our projects benefit from our own interior design group. PRA Interior Design is led by a design partner, and managed by a firm principal, both with decades of experience. This group regularly speaks at national conferences and are frequently recognized by industry peers with design awards and other accolades.
Interior Design is not a separate process at PRA: Our professionals are holistically integrated into our design process to produce cost-effective, beautiful, and functional spaces. They help to translate client goals into human-centered spaces that can ease anxiety, reinforce organizational culture, and communicate branding.
Our immersive process engages clients to understand the design issues, learn about options, and make decisions informed by the designer’s research and suggestions. Every project benefits from materials and finish guidance. Optional services include furniture selection and procurement, furniture inventory, signage and way finding, and creation of design standards.
Every project we design undergoes rigorous review throughout both the design and construction phases— from the big picture down to the smallest detail. This ensures not only a high-quality outcome but also full regulatory compliance and long-term functionality.
We also strongly advocate for involving your builder early in the design process. Partnering with a negotiated general contractor from the start brings valuable insights into cost, lead times, and constructability. This collaborative approach transforms the builder into a proactive advocate for your vision—helping to resolve challenges before they arise and paving the way for a smoother, more efficient construction experience.
Renee Moe AIA, EDAC
Project Manager, Principal
Registered architect in WI.
Kevin Broich AIA, NCARB
Partner, Director of Healthcare
Registered architect in WI, FL, IA, IL, KS, MA, MI, MN, NM, ND, OH, PA, SD, WV.
John Holz AIA
Partner
Registered architect in FL, MO, NC, NY, TX, VA, WI.
Derek Neuman AIA, NCARB
Project Manager, Associate
Registered architect in FL, WI.
Anthony Meyer AIA
Project Architect
Registered architect in WI.
Cole Hunt AIA
Project Specialist III
Registered architect in WI.
Megan Ziesemer ASID, NCIDQ
Interior Designer
Bryanna Pishion ASID, NCIDQ
Interior Designer
Kelsey Clark
Interior Designer
Ryan Roberts DMD
Dentist, Dental Consultant
At its best, good design empowers dentists to do their best work. That means creating facilities that not only reflect your unique practice culture but also meet both current and future clinical demands—while welcoming patients with clear, intentional design.
Whether you're just beginning to shape your vision or actively searching for a location, there’s real value in starting design conversations early. Engaging a team that listens closely from the outset helps ensure that every design decision is aligned with your goals, your workflow, and the patient experience you want to offer.
