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AAO MemberAccepting new patients

Tooth By Tooth Orthodontics

Tooth by Tooth Orthodontics is a local orthodontic practice in Cary, NC serving children, teens, and adults.

7250 O'Kelly Chapel Rd #102, Cary, NC 27519
5.0(167 reviews)
Call Now(919) 466-9959Book OnlineWebsiteDirections

About Tooth By Tooth Orthodontics

An arcade-style, music-filled office and a doctor who personally handles emergency texts define this Cary practice's approach to braces and Invisalign.

Reviews at Tooth By Tooth Orthodontics point to a clinic built around comfort and access: a clean, modern space with music and an arcade system that keeps kids at ease, plus a team that fields broken-wire or loose-bracket calls same day, even on weekends. Dr. Nishant Patel is repeatedly described as patient and unhurried, walking families through treatment planning and answering questions during consultations rather than rushing appointments. Early phase 1 treatment for younger children comes up more than typical, alongside braces, Invisalign, and retainers, with several reviews noting visible progress within months.

Summary of 155 patient reviews, December 2021–September 2026, updated September 2026

Tooth by Tooth Orthodontics is a local orthodontic practice in Cary, NC serving children, teens, and adults.

The practice offers metal braces, ceramic braces, clear aligners (Invisalign), and orthodontic expanders, with an emphasis on personalized care and transparent pricing.

Photos

Treatments offered

Early TreatmentEarly TreatmentInvisalignInvisalignClear AlignersClear AlignersTraditional BracesTraditional BracesRetainersRetainersClear BracesClear BracesLingual BracesLingual Braces
Braces
$3,000 - $7,000
Clear Aligners
$3,000 - $8,000
Consultation
Free
GuidesHow much does Invisalign cost? →Clear aligner costs explained →Adult braces cost guide →

Who They Treat

Tooth By Tooth Orthodontics provides orthodontic treatment for the following age groups:

Children
Ages 6–11
Teens
Ages 12–17
Adults
Ages 18+

Technology & Equipment

Tooth By Tooth Orthodontics uses modern orthodontic technology to deliver precise, comfortable treatment.

3D Digital Scanning
iTero/TRIOS

* Pricing ranges are estimates. Contact the practice for a personalized quote.

Orthodontists at this office

provider
headshot

Nishant Patel

NPI verified · no bio or photo on file

NPI VERIFIEDAccepting New Patients

Insurance accepted

4 plans listed
AetnaDelta Dental PPODelta Dental PremierDeltaCare USA
The practice accepts insurance and mentions that most orthodontic plans cover between $1,500 and $3,000 toward braces. They file claims for patients.

What patients say

Latest review 7 weeks ago

What patients praise

  • The office atmosphere, with music and an arcade game system, is repeatedly singled out as making visits enjoyable rather than stressful.
  • Dr. Patel and staff are described as responding to broken wires or brackets the same day, including after hours and on weekends.
  • Consultations and treatment planning are described as thorough, with cost and each step explained before starting.

Who it suits

  • Young children starting early treatment
  • Families managing several kids in treatment at once
  • Adults considering aligners or braces

Doctors patients mention

  • Dr. Nishant Patel · 148 reviews
Last 90 days
15 reviews
averaging 5.0★
Last 12 months
42 reviews
averaging 5.0★
Owner replies
71% of reviews
Compared with Cary
Higher rated than 79%
of 14 practices we track
Reviews per month
14
Oct 2023Sep 2026
Reviews per month
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Star ratings
  • 5★167
  • 4★0
  • 3★0
  • 2★0
  • 1★0
Average rating by year
  • 20215.0
  • 20225.0
  • 20235.0
  • 20245.0
  • 20255.0
  • 20265.0
1★5★
Treatments patients mention
  • Braces42
  • Invisalign / clear aligners7
  • Retainers7
  • Early (phase 1) treatment7
  • Expanders & appliances3
What patients talk about
PraiseCriticism
  • The orthodontist75
  • Clear explanations37
  • Office & technology34
  • Friendly staff32
  • Great with kids32
  • Treatment results30
  • Gentle, comfortable care24
  • Scheduling & wait times16
What patients talk about
ThemePraiseCriticism
The orthodontist750
Clear explanations370
Office & technology340
Friendly staff320
Great with kids320
Treatment results300
Gentle, comfortable care240
Scheduling & wait times160

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Recent reviews from Google

5.0
167 reviews
Tej Sakaria
Tej Sakaria
a month ago
“

Dr. Patel and Seema with the rest of the crew have been phenomenal in caring for both our sons and improving their smiles. Do not hesitate to give them a call as they have been prompt, informative, and helpful in the process.

Review from Google

Mike D
Mike D
a month ago
“

I’m about halfway through my aligner treatment at Tooth By Tooth. Dr. Patel and his staff have been great throughout, from the original consultation until now. Dr. Patel seems to really care about me and my treatment plan. I’ve been extremely satisfied every step of the process so far. Highly recommend.

Review from Google

Pinal Patel, Au.D.
Pinal Patel, Au.D.
a month ago
“

Great team! Very attentive. Super friendly. Easily accommodating. Definitely my go to (family) orthodontist. Currently in Invisalign that Dr Patel fit me in, and he’s been very helpful in the whole process. My kids will also be seeing him.

Review from Google

Anu Patel
Anu Patel
2 months ago
“

Dr. Patel and his team are simply outstanding! The clinic is modern, beautiful, impeccably clean, and staffed by some of the friendliest people you will ever meet. Dr. Patel is incredibly kind, patient, and attentive. He takes the time to genuinely listen to concerns and thoroughly explain treatment options and next steps, which is greatly appreciated. Our family has had an exceptional experience with Dr. Patel and his team. Both of my children have undergone orthodontic treatment with different orthodontists, and our experience with this clinic has been, by far, the best orthodontic experience we've had in the Cary/Raleigh area. As the spouse of a dentist, I can also share that Dr. Patel comes highly recommended for his outstanding clinical training, expertise, and years of experience. Beyond Dr. Patel's exceptional care, his staff truly sets the practice apart. They are warm, compassionate, and go above and beyond to ensure patients feel comfortable and well cared for. Scheduling appointments is always easy, and the team is incredibly accommodating and flexible. If you are looking for an orthodontist who combines clinical excellence with genuine compassion and outstanding patient care, Dr. Patel should be your first choice. I cannot recommend him and his team highly enough!

Review from Google

Madhubala Konka
Madhubala Konka
2 months ago
“

It's been almost four months now, and I'm so happy that I chose Tooth by Tooth Orthodontics. Dr. Nishant and Seema have been incredibly kind, friendly, and helpful throughout my treatment. They always take the time to answer my questions and make every visit a pleasant experience. I highly recommend Tooth by Tooth Orthodontics to anyone looking for excellent orthodontic care!

Review from Google

Read all 167 reviews on Google →

Questions about this practice

What orthodontic treatments does Tooth By Tooth Orthodontics offer?+
Tooth By Tooth Orthodontics offers: Early Treatment, Invisalign, Clear Aligners, Traditional Braces, Retainers, Clear Braces, Lingual Braces.
Does Tooth By Tooth Orthodontics accept dental insurance?+
Tooth By Tooth Orthodontics accepts Aetna, Delta Dental PPO, Delta Dental Premier, DeltaCare USA.
Does Tooth By Tooth Orthodontics offer free consultations?+
Yes, Tooth By Tooth Orthodontics offers a free initial orthodontic consultation. Call (919) 466-9959 or book online to schedule.
Is Tooth By Tooth Orthodontics accepting new patients?+
Tooth By Tooth Orthodontics is currently welcoming new patients in Cary, NC. Call (919) 466-9959 or book online to schedule.
Where is Tooth By Tooth Orthodontics located?+
Tooth By Tooth Orthodontics is located at 7250 O'Kelly Chapel Rd #102. Get directions: https://maps.google.com/?cid=12788957775513467146&g_mp=CiVnb29nbGUubWFwcy5wbGFjZXMudjEuUGxhY2VzLkdldFBsYWNlEAIYBCAA
What are the office hours for Tooth By Tooth Orthodontics?+
Tooth By Tooth Orthodontics office hours: Mon 9:00 AM–5:30 PM, Tue 9:00 AM–5:30 PM, Wed 9:00 AM–5:30 PM, Thu 9:00 AM–5:30 PM, Fri 9:00 AM–3:00 PM, Sat Closed–Closed, Sun Closed–Closed.
Does Tooth By Tooth Orthodontics offer payment plans?+
Yes, Tooth By Tooth Orthodontics offers flexible payment plans to make orthodontic treatment affordable.
Who are the orthodontists at Tooth By Tooth Orthodontics?+
Tooth By Tooth Orthodontics is staffed by Nishant Patel. The practice is a member of the American Association of Orthodontists (AAO).
What is the patient rating for Tooth By Tooth Orthodontics?+
Tooth By Tooth Orthodontics has a 5-star rating based on 167 patient reviews on Google.

Research with AI

ChatGPTPerplexityClaude
7250 O'Kelly Chapel Rd #102
Cary, NC 27519
Get Directions
(919) 466-9959
toothbytooth.com/
Book Online
info@toothbytooth.com
Open in Google Maps
Accepting new patients
Free Consultation
Payment Plans Available
In-House Financing
Weekend Hours
Online Booking Available
Emergency Hours Available

Accessibility & Parking

Wheelchair Accessible Entrance
Wheelchair Accessible Parking
Wheelchair Accessible Restroom
Free Lot Parking
Garage Parking
CashCredit CardsDebit CardsContactless / NFCCareCredit
Mon9:00 AM – 5:30 PM
Tue9:00 AM – 5:30 PM
Wed9:00 AM – 5:30 PM
Thu9:00 AM – 5:30 PM
Fri9:00 AM – 3:00 PM
SatClosed
SunClosed

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Back to Cary Orthodontists

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