Orthodontist in Cary, NC: One Doctor, Every Visit

Dr. Patel and his daughter

The Cary, NC Orthodontist Who Actually Knows Your Name.

Dr. Nishant Patel is a locally owned orthodontist in Cary, NC — trained at the University of Illinois at Chicago, where he graduated top of his class, and at the University of Minnesota, where he earned his MS and orthodontic certificate. Before opening Tooth By Tooth, he spent eight years practicing in the Chicago suburbs. He’s also a dad of two, so he genuinely understands what it means to juggle schedules, budgets, and decisions that feel bigger than they should.

From your first consultation to your final appointment, Dr. Patel is the one you’ll see. Not an associate. Not a rotating provider. Just one doctor who knows your smile.

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

— Amanda R., Morrisville

Why Cary Families Choose Tooth By Tooth

One doctor, every visit. You'll see Dr. Patel at every appointment, not an associate, not whoever's available. That's a structural decision, not a marketing line.

Dr. Patel left a corporate group practice to build something independent. No ownership quotas, no volume targets, no pressure to move patients through faster than they should.

Every patient gets a digital intraoral scan. No goopy impressions, no guesswork. Dr. Patel reviews your results with you in real time so you understand exactly what he sees.

Late appointments and Saturday hours, because your kid has school and you have work. We built the schedule around real life, not the other way around.

Payment plans starting at $300 down, with monthly options built around your budget. Financing is available and we walk you through it at your first visit, no surprises.

Dr. Patel uses digital scanning and 3D printing in his daily workflow. Modern tools that make treatment more precise and more comfortable.

Proudly Serving Cary, Apex, Morrisville, and Holly Springs

Tooth By Tooth is a single-location, independently owned orthodontic practice in Cary, NC. We’re not a franchise and we’re not trying to be. Dr. Patel built this practice around one idea: that great orthodontic care requires attention, not volume.

Whether you’re coming in from Apex, Morrisville, Holly Springs, or anywhere else in western Wake County, you’ll get the same thing. One doctor, one location, and a treatment plan built specifically for your smile.

Real Tooth by Tooth patient

Take a Look at Our Cary, NC Office

The office was designed to feel nothing like a typical orthodontic clinic. Digital treatment areas, no waiting room anxiety, and a space that’s easy to get to from anywhere in western Wake County. See it for yourself.

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.

Rodolfo

Coming Soon!

Rosa

Tooth Tech

My name is Rosa. I am an orthodontic assistant with a passion for helping patients feel confident about their smiles. I am here to assist patients through their orthodontic treatment and celebrate every milestone as they achieve the smile they’ve always wanted. Outside of work, I enjoy spending time with my family and friends. I am one of six, so my siblings sure do keep me on my feet.

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

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.

*Limited consult spots available this month*

Real Tooth by Tooth patient