Why I Started Twice
I am a pediatric dentist and a mom. I started Twice because I kept seeing the same thing in my training and early career: children leaving dental offices scared, overwhelmed, and sometimes traumatized. And I kept thinking: it does not have to be like this.
A bad experience at four can become avoidance at fourteen and neglect at thirty-four. That is not just about teeth. That is about trust, and trust, once lost in a medical setting, is very hard to rebuild.
So I built Twice around a different idea. That the experience matters as much as the treatment. That kids deserve patience and honesty, not pressure. That parents deserve to be in the room, to ask questions, and to understand every recommendation before they agree to it.
"We let kids ask for a pause. We go step by step. We try again if we need to."
What a Visit Feels Like
We do not rush. We do not assume. We go at your child's pace.
You Stay in the Room
Always. No exceptions. You are part of this visit, not just the waiting room.
We Show Before We Do
We explain every tool, every step, before it happens. We practice on a finger. We count together.
We Go Slow
There is no rush. If something takes longer, it takes longer. That is okay.
We Pause When They Need It
We listen when a child tells us they need a moment. Sometimes we take a lap around the office. Sometimes we try again another day.
Questions Are Welcome
From parents. From kids. At any point. Before, during, or after.
We Look at the Whole Kid
Teeth are part of breathing, development, and the whole body. We pay attention to all of it.
How We Protect Trust
These are the lines we do not cross.
We keep parents fully informed, before, during, and after.
We explain before we recommend. You understand why before we ask you to decide.
We do not rush through fear. We do not push past overwhelm.
We use sedation thoughtfully, not automatically. We discuss every option with you first.
Early Experiences Shape a Lifetime
Children who have good dental experiences early are far more likely to seek care throughout their lives. Children who are scared, rushed, or not listened to often carry that into adulthood as dental avoidance, and avoidance has real health consequences.
Twice was built on the belief that a good pediatric dentist does not just clean teeth. They build trust. And trust, built early, lasts.
There Is Rarely Only One Path
We see a lot of families who come to us after being told their child needs crowns, or extractions, or full anesthesia, without being walked through the why, the alternatives, or the tradeoffs. We handle those conversations differently.
You deserve context. You deserve time. We do not make decisions without you.
We tell you what we see.
We explain what we recommend and why.
We tell you what else is possible.
A Note to Parents
You are not in the waiting room here. You are in the room. You can ask anything, before, during, after. We explain things until they make sense. And we try our best to be honest and clear about what we see, what we recommend, and what it might cost.
We work hard to make our recommendations and costs as clear as possible. We will not always be perfect. Billing is complicated. But transparency is always our intention.
We Accept Both. Here Is the Honest Truth.
We accept insurance. We accept TennCare. Yes, insurance can be a pain. Yes, the administrative side can feel clunky and frustrating. We find it frustrating too. We already work hard behind the scenes to make it as smooth as possible. Patient care is always the priority. We want to serve as many families in this community as possible, and we have no desire to stop accepting insurance or TennCare.
Hey, Kid.
Here is what happens at Twice.
We show you everything before we do it.
We count with you.
You can ask for a break anytime.
We go one step at a time.
You do not have to be brave.
You just have to be here.
What We Offer
Clinically excellent. Thoughtfully delivered.
Preventive Care
Cleanings, exams, fluoride (fluoride-free options available), sealants, oral health education.
Restorative Care
Fillings, white crowns, extractions, space maintainers.
Sedation Options
Nitrous oxide, oral sedation, IV sedation, discussed carefully and recommended only when needed.
Whole-Body Focus
We look at breathing, development, habits, and how oral health connects to overall wellness.
Natural & Integrative
We offer fluoride-free options and respect family preferences while providing evidence-based guidance.
Membership Plans
Ask about our membership options for families without insurance to keep care accessible.
Tongue & Lip Tie Assessment
We offer specialized evaluation and treatment for tongue and lip tie, including support for infants, toddlers, and older children. Early identification can make a meaningful difference.
Find Us
Twice Pediatric Dentistry
Brentwood
Twice Pediatric Dentistry
Century Farms / Antioch
Your Care Team
Four pediatric specialists. One shared commitment to making kids feel genuinely safe.
Dr. Tiffany Rangel
Dr. Tiffany Rangel has been practicing dentistry since 2010. After working as a general dentist, she returned to residency to specialize in pediatric dentistry, because kids were always her favorite part of the job.
As a mom of three, Dr. Tiffany knows firsthand how hectic family life can be. She keeps dental visits calm, clear, and approachable for both kids and parents. Her philosophy is simple: patience is how you figure out what a child actually needs.
Education & Credentials
- University of Florida, Bachelor of Science
- University of Florida, Doctorate of Medical Dentistry
- NYU Langone Hospitals, Pediatric Dentistry Residency, Chief Resident
- Board Certified Pediatric Dentist (Diplomate)
- 2020 Pugh Award Winner, top 3% of pediatric board exam scores
- Healthy Start Certified
- Tethered Oral Tissues (TOTs) Certified
Memberships
- American Academy of Pediatric Dentistry
- American Dental Association
- Tennessee Dental Association
- Nashville Dental Society
- South Women's Dental Study Club
Dr. Kate Brown
Dr. Kate Brown grew up in Hendersonville, Tennessee, and is thrilled to be back home in Middle Tennessee after years of training and exploring new cities. She attended the University of Dayton before heading to the University of Tennessee College of Dentistry in Memphis, where she fell in love with pediatric patients and never looked back.
Her residency took her to Saint Louis, where she adopted her first fur baby: a bunny named Walter Hopps, who has even visited the office to meet some of the kids. Outside the office, Kate loves cooking, baking, thrift shopping, watching movies, and traveling with family. She and her husband recently welcomed their first baby boy, Abel, and are excited to raise their family in the community they love.
Education & Credentials
- University of Dayton, Bachelor of Science
- University of Tennessee College of Dentistry, Doctorate of Dental Surgery
- Pediatric Dentistry Residency, Saint Louis
Memberships
- American Academy of Pediatric Dentistry
- Nashville Area Women's Study Club
Dr. Purvi Patel
Dr. Purvi Patel brings a gentle, cheerful energy to every appointment. She has a genuine passion for working with children and is known for making kids feel comfortable and at ease, even the ones who walk in a little nervous.
Dr. Patel takes a conservative approach to dentistry, always looking to preserve natural tooth structure and support long-term health. Outside the office, she loves drawing, traveling, and exploring new foods. She cherishes time with family and friends and is excited to keep growing her roots in Nashville.
Education & Credentials
- University of Tennessee Knoxville, Bachelor of Kinesiology
- University of Tennessee College of Dentistry, Doctorate of Dental Surgery
Memberships
- American Dental Association
- Tennessee Dental Association
- Nashville Dental Society
The people who make it all happen.
Our doctors could not do what they do without an exceptional team behind them. Every person here, clinical and non-clinical, is chosen because they share the same belief: every child deserves to feel genuinely safe, and every family deserves to feel genuinely heard.
Office Manager
Front Desk
Dental Hygienists
Dental Assistants
What Parents Say
"We have tried three other pediatric dentists. Twice is the first place my daughter did not cry."
Parent of a 4-year-old
"Dr. Tiffany explained everything before she did it. I finally understood why my son needed what he needed."
Parent of a 7-year-old
"They let us take a break when my son got overwhelmed. I did not know that was even an option."
Parent of a 5-year-old
If this sounds like the kind of care you have been looking for, we would love to meet your family.
Accepting new patients at both locations.