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Your First Visit

Your Free Orthodontic Consultation

Whether you’re exploring braces for your child, weighing your options as an adult, or just trying to understand what comes next – your first appointment with Dr. Patel is simple, relaxed, and completely pressure-free. He’ll examine your bite, walk you through exactly what he sees, and give you a clear, honest recommendation. No sales pitch. No runaround. Just a straight answer from the orthodontist who’ll actually do the work.

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Real Tooth by Tooth patient

What Happens at Your First Orthodontic Appointment?

Dr. Patel personally examines your bite and teeth alignment, and walks you through exactly what he finds, in plain language
You receive a custom treatment plan with clear options, a realistic timeline, and upfront pricing - no surprises
You leave with clarity and a real plan - not a sales pitch

Dr. Nishant Patel

One Doctor. Every Visit. That's How We Built This Practice.

Dr. Patel sees every patient personally – from your first orthodontic consultation through your final appointment. There are no handoffs to associates, no rotating staff, no wondering who you’ll see next time. That’s not how most practices work, and it’s exactly why he left a corporate group practice to build Tooth By Tooth from the ground up.

Whether you’re a parent navigating braces for your child or an adult who’s been putting off treatment for years – Dr. Patel will meet you with patience, honesty, and a clear plan. He’s been practicing orthodontics for over 12 years, trained at the University of Illinois at Chicago and the University of Minnesota, and his research has been published in the American Journal of Orthodontics and Dentofacial Orthopedics. That precision shows up in every consultation he gives.

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Questions Before You Come In?

Here’s what most families want to know before they come in.

What should I bring to my first orthodontist appointment?
  • Your insurance card if you have one - we'll verify your benefits on our end
  • Any questions you've been sitting on - there are no dumb ones
  • That's genuinely it. Dr. Patel handles everything else from there
How long does a first orthodontic consultation take?
  • Most consultations run 45–60 minutes - that includes a full digital scan, Dr. Patel's exam, and a complete walkthrough of your options and pricing
  • You won't feel rushed, and you won't leave with unanswered questions
Do I need a referral to see an orthodontist?
  • No referral needed - you can book directly without going through your dentist first
  • If your dentist has already recommended an orthodontist visit, great. If not, you can still come in - just book below or call us at (919) 466-9959

Why do patients choose Tooth By Tooth?

  • One-on-one time with Dr. Patel at every visit - not a rotating associate, not a sales rep
  • Digital scanning - no impressions, no goopy molds
  • Upfront treatment and pricing plans, same day as your consultation
  • One location, one doctor, zero surprises

What Patients Are Saying

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I was nervous, but the first visit was so easy. Dr. Patel explained everything clearly and didn’t push anything. I felt totally comfortable and informed.

— Jason T., Apex

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.

*Limited consult spots available this month*

Real Tooth by Tooth patient