A Doctor Who Actually Listens.
Dr. Nishant Patel didn’t become an orthodontist just to straighten teeth—he did it to help people feel more confident, seen, and understood. After graduating at the top of his class from dental and orthodontic programs in the Midwest, Dr. Patel moved to Cary, NC to start something different: a local practice built on real relationships, not corporate quotas.
Dr. Nishant Patel
Our Founding Father
As a dad of two, Dr. Patel understands the chaos, the questions, and the big decisions parents face. And when it comes to adult patients, he knows how easy it is to put your own smile last—until something clicks and you realize it’s time.
When he’s not working on smiles, you’ll probably find Dr. Patel chasing after his kids, spending time outdoors, or watching a Bulls game. He’s equal parts calm and meticulous—and yes, he’s a little obsessed with getting bite alignments just right.
Dr. Patel explained everything to my daughter in a way that actually made her feel confident—not scared. It was a total game-changer.
– Kim, Apex
I’ve never met a doctor who cared so much about the little details. Every visit felt easy, helpful, and even fun.
– Jeremy, Cary
Dr. Patel’s Daughter
Dr. Patel
Dr. Patel’s Wife
Dr. Patel’s Son
Dr. Patel earned his dental degree and orthodontic specialty certification from highly respected programs in the Midwest. While his academic background is strong, what patients remember most isn’t where he studied—it’s how he made them feel heard, respected, and taken care of.
My Treatment Philosophy
“I treat every patient like I would my own kids. That means doing the right thing, even when it’s not the easiest thing. It means being honest, careful, and clear. And it means never rushing someone into a decision that doesn’t feel right.”
From early orthodontics to adult aligners, Dr. Patel personally designs every treatment plan and sees every patient through the entire process. You’ll never be passed around or feel like a number.
Dr. Patel & Patient
What Patients Are Saying
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.
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.
Real Tooth by Tooth patient