Why Choose Tooth by Tooth

We’re not Your Average Orthodontic Office.

At Tooth by Tooth, we’re doing things differently. We don’t do high-pressure sales, corporate chains, or confusing treatment plans. We believe in honesty, personal attention, and the kind of care that makes you feel like family.

We’re here for the overthinkers, the busy parents, the adults who’ve put this off for too long—and the kids who just want someone who gets them.

Real Tooth by Tooth patient

Dr. Patel and his daughter

Meet Dr. Nishant Patel.

Dr. Nishant Patel is a top-of-class orthodontist trained in the Midwest, now proudly serving families in Cary, NC. He’s also a dad of two, so he gets what it’s like to juggle schedules, budgets, and big decisions.

From your very first visit, Dr. Patel is the one you’ll meet—and the one who sticks with you throughout your entire treatment. No bouncing between providers. No confusion. Just consistent, expert care that’s focused on what’s best for you.

Dr. Patel is the real deal. Professional, kind, and incredibly thoughtful with every patient.

— Amanda R., Morrisville

What Makes Tooth by Tooth Different

You’ll always see Dr. Patel—not a rotating cast of assistants.

Our office is calm, clean, and refreshingly non-corporate.

We take time to explain every option, every step of the way.

You'll feel comfort and care from the moment you walk in.

We offer payment plans that work for real budgets.

We use modern tech (like 3D scans) to skip the guesswork.

A Local Practice with Real Roots

We’re not a franchise—and we’re not trying to be. We’re proud to serve the Cary, Apex, Morrisville, and Holly Springs communities with personalized orthodontic care that feels genuine.

Whether you’re here for braces, aligners, or just a free consultation—you’ll leave with clarity, confidence, and a team that’s truly on your side.

Real Tooth by Tooth patient

Want to See the Office?

Check out what makes our space special—from our tech-forward treatment areas to the relaxed, family-friendly vibe.

Meet Our Team

Dr. Nishant Patel

Founder & Primary Orthodontist

Dr. Nishant Patel is a top-of-class orthodontist trained in Chicago, now proudly serving families in Cary, NC. He’s also a dad of two, so he gets what it’s like to juggle schedules, budgets, and big decisions.

Maria

Treatment Coordinator

My name is Maria, and I’m the Treatment Coordinator here at Tooth By Tooth Orthodontics. I was born in California but raised right here in North Carolina. I graduated from UNC Greensboro in 2022 with a B.S. in Elementary Education, and I’m currently pursuing my MBA at East Carolina University, with plans to graduate in 2026.

Tashena

Orthodontic Assistant

Born and raised in Elyria, Ohio, I relocated to North Carolina in March 2023 and am a proud mom to my 15-year-old daughter, Saleena. I graduated from dental assisting school in 2007 and began my orthodontic journey at Case Western University, where I built a strong foundation and gained invaluable hands-on experience.

Before

After

Getting braces at Tooth by Tooth changed everything for me. I’m smiling again, and my confidence has skyrocketed!

Tooth by Tooth Patient

Schedule Your Free Consultation

Don’t wait another year to feel good about your smile. There’s no pressure, no upsells, just honest guidance from a team that cares.

Still have questions? Call (919) 469-959—we’re happy to talk.

*Limited consult spots available this month*

Real Tooth by Tooth patient