Braces and Clear Aligners in Cary, NC. One Doctor, Every Visit.
Dr. Patel personally designs every treatment plan and sees every patient himself – from your first consultation through your final appointment.
Real Tooth by Tooth patients
One Doctor, Start to Finish
You'll see Dr. Patel at every visit - not an associate, not whoever's available.
Free consultations
0% financing, and upfront pricing. No surprises, no pressure.
Independently owned in Cary, NC
Serving families in Apex, Morrisville, Holly Springs, and western Wake County.
Struggling with Crooked Teeth or a Misaligned Bite?
Crooked teeth and misaligned bites affect more than just appearance – they can make eating uncomfortable, affect how teeth wear over time, and knock someone’s confidence in ways that are hard to shake. Dr. Patel sees this regularly in patients of all ages at his Cary, NC practice.
Whether you’re a parent noticing your child’s teeth are coming in crooked, a teen who wants a straighter smile, or an adult who’s been putting off treatment for years – Dr. Patel will give you a clear picture of your options at a free, no-pressure consultation.
One Orthodontist. Every Patient. Every Visit.
Dr. Nishant Patel trained at the University of Illinois at Chicago, where he graduated at the top of his class, and earned his MS and orthodontic certificate from the University of Minnesota. His research has been published in the American Journal of Orthodontics and Dentofacial Orthopedics. He founded Tooth By Tooth in Cary, NC after leaving a corporate group practice – because he wanted to build something where every patient is seen by the same doctor, every time.
Dr. Patel is the real deal. Professional, kind, and incredibly thoughtful with every patient.
— Amanda R., Morrisville
Personalized Care, Real Results.
We don’t do cookie-cutter treatment plans. We offer orthodontic solutions designed to fit your smile, your life, and your budget.
Real Tooth by Tooth patient
Braces in Cary, NC
Real Tooth by Tooth patient
Clear Aligners in Cary, NC
Real Tooth by Tooth patient
Early Orthodontics in Cary, NC
Real Tooth by Tooth patient
Teen Orthodontics in Cary, NC
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It’s Never Too Late to Love Your Smile
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Retainers in Cary, NC
Still Deciding Between Braces or Aligners?
We’ve created helpful guides to answer your questions
Real Patients. Real Confidence.
Getting braces at Tooth by Tooth changed everything for me. I’m smiling again, and my confidence has skyrocketed!
Tooth by Tooth Patient
Dr Patel is friendly and caring, very helpful in making decisions. Within a few months of braces treatment, we saw the difference in tooth alignment. Our daughter is confidently smiling now.
— Sara K.
Dr. Patel and his staff are the best! The clinic is beautiful, always clean, and everyone is super friendly. Dr. Patel is always on time, he is patient and clearly explains the next steps of the treatment. He even took care of a loose bracket over a holiday weekend when the clinic was closed; I texted him on Friday evening, and he replied immediately and offered to see my daughter the next day. I truly recommend Tooth by Tooth Orthodontics!
— Mariell M.
Dr. Patel and his team are outstanding—professional, kind, and extremely knowledgeable. Thanks to their expert care, my teeth are straight for the first time in my life, and I couldn’t be more grateful. When my kids need orthodontic treatment in the future, I’ll definitely be bringing them here without hesitation.
— Jason R.
We love this practice and Dr Patel! My daughter has had a wonderful experience so far, and the staff is very welcoming. Dr Patel provides excellent care and always explains everything he is doing and what to expect. Communication is always very clear, and everyone is super helpful.
— Eric S.
I highly recommend Tooth By Tooth Orthodontics! Everyone here is incredibly kind, professional, and welcoming. From the front desk to the assistants and Dr. Patel, the entire team creates such a positive and friendly environment. I always feel well taken care of as a patient. If you’re looking for an orthodontist, this is definitely the place to go!
— Tamari K.
Dr. Patel saved my smile. I had really bad crooked teeth growing up, and I never really paid much attention to it until I noticed that my teeth were making my smile look weird. I’m still in the process of closing up gaps, but my overall experience was great. Such a friendly atmosphere, and it just feels like home every time I’m in there! I’m so happy to have met Dr. P ❤️
— Anna S.
How We Work
It’s easy (and free) to take the first step:
We're Proud to Be Cary’s Neighborhood Orthodontist
We serve families from Cary, Apex, Morrisville, Holly Springs, and surrounding communities.
Request Your Free Consultation
A small step today can lead to big changes in just weeks. Feel confident in your own smile – or give your child a strong, healthy foundation for a lifetime.
Request your free consultation by completing the form, and we’ll reach out to help you get started.
Still have questions? Call (919) 466-9959—we’re happy to talk.
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Honest Answers, Helpful Tips, and Real Smile Stories
Looking for orthodontic advice that’s actually helpful? You’re in the right place.