Tooth by Tooth is a locally owned, one doctor orthodontic office right here in Cary, NC. We built it around comfort, calm, and clarity, not the rushed, revolving door feel of a corporate chain. Families come to us from across Cary, Apex, Morrisville, and Holly Springs for one simple reason: every visit is with the same orthodontist, Dr. Nishant Patel, in the same welcoming office.
We work to make every visit feel comfortable, calm, and genuinely welcoming.
Not plastic chairs and generic posters.
We greet you like family, not a chart number.
Consistent care from familiar, trusted faces.
Come stop by and say hi, we’d love to meet you!

From our 3D scanning to our relaxed treatment bays, everything about our Cary office is built to make your visit easier and more comfortable. We don't rush you. We don't confuse you. We just take good care of you. Whether you're here for a quick consult or a full set of braces, you'll feel the difference the moment you walk in.

Our office sits just minutes from Parkside Town Commons, off O'Kelly Chapel Road in West Cary. It is an easy drive whether you are coming from central Cary, Apex, Morrisville, or Holly Springs, and most families reach us in 15 minutes or less. Parking is free and right outside the door. We also keep evening and Saturday appointments, so orthodontic visits fit around school, work, and everything else your family is juggling.
We take pride in our friendly, calming, tech-forward environment.
Modern tools for precise planning and better results.
Relax in a setting designed to put you at ease.
Fun for kids, convenient and thoughtful for parents.
Bright, modern, and designed with real personality.
Space to talk through your treatment without distractions.
We are proud to be the neighborhood orthodontist for families across West Cary and the surrounding towns. Whether your dentist just recommended braces, your child is ready for an early orthodontic evaluation, or you have been thinking about clear aligners for yourself, you will get a clear, honest plan, a straight answer about what treatment involves, and an estimate with no surprises. No pressure, no jargon, no runaround.
Explore braces in Cary, clear aligners, and early treatment for kids.
We are at 7250 O’Kelly Chapel Rd #102, Cary, NC 27519, just off O’Kelly Chapel Road near Parkside Town Commons in West Cary. Parking is free.
Yes. Families come to us from across West Cary, Apex, Morrisville, Holly Springs, and the wider Triangle. Most reach the office in 15 minutes or less.
Yes. We keep evening and Saturday appointment times so visits fit around school and work.
Yes. Your first visit is a free consultation with Dr. Patel, including an exam and a 3D scan, with no obligation.
Yes. Dr. Patel treats kids, teens, and adults, from early evaluations for children to braces and clear aligners for adults.
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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Real Tooth by Tooth patient