Top Down Dental
Nancy Nehawandian, DDS:
Practice Profile Page


Top Down Dental
Nancy Nehawandian, DDS (Orthodontist)

Los Gatos CA













A list of major dental treatments which I offer my patients:


Clear aligners


Comprehensive orthodontics

Space maintainers

Palatal expanders


Interceptive orthodontics


Offers Even28 at-home™? No

Offers Even28 at-dentist™? No

Offers Invisalign®? Yes


Monday: 8:30 am to 5:30 pm

Tuesday: 8:30 am to 5:30 pm

Wednesday: 7:30 am to 4:30 pm

Thursday: 8:00 am to 12:00 pm

Friday: Closed

Saturday: Closed

Sunday: Closed





Check out what some of our happy patients are saying about us:

Linda S. from San Francisco, CA (Source: Yelp)


This is no ordinary Dentist office. Dr Nancy and her team provide a nurturing and supportive environment to heal your life through healing your mouth. I initially came here for an emergency extraction and painful bleeding gums and jaw pain. Through education and top class oral care my mouth today is pain free and my entire body is reaping the rewards. The services the provide from finances to comfort levels is A1. The finances were also a concern but the team provided different plans and options that helped me save thousands of dollars so I could get well. They also provide massage chairs, soothing meditation music, hand gloves w/ lotion and relaxing supplements to make the visits most comfortable. Dr Nancy has a very holistic approach and looks at more than just your teeth, she assesses your airway for potential sleep apnea and bruxism and empowers you to make changes needed to heal. I cannot recommend this group of women enough!

Melissa Thomson (Source: Google)


Top Down Dental is awesome, and crazy as it may sound, I look forward to going to my dental cleanings. I’ve been a patient of Dr Nancy’s for nearly 25 years, and appreciate the care and compassion she and her amazing team bring to their work. The place is lovely, sparkling clean, with massage chairs that make the cleaning whiz by. Processing our insurance has always been masterfully handled by Vicki to assure we made the best use of our dental plan’s coverage. I highly, highly recommend Top Down Dental!

Yesenia P. from Paso Robles, CA (Source: Yelp)


I really hardly ever wright reviews. But i am so happy and grateful that i came across Dr. Nancy and her team. She is really caring and compassionate she really wants the best for you and will sit down and take her time to talk about any issues and concerns. Ive had jaw/facial pain for about a year I decided to make an appointment with Dr. Nancy i live about 3 hrs away and the drive was well worth it. She came up with a treatment plan that was best for me, and made sure i didnt feel abandon as i was leaving the office. I will be going back with her once im done with braces to get my night guard.

Saeko Y. from Campbell, CA (Source: Yelp)


Dr. Nancy and hygienist is kind and caring. The dental assistant is also very knowledgeable. They answer my questions how to maintain healthy gum and gave me good advice. Not only treating cavity, they takes care keeping healthy gum to prevent further problem so that is why I understand the office name is top down dental. Although one of my teeth / gum is sensitive, but they clean with care when I mentioned at each office visit so I did not feel discomfort so much while they are treating.

Miechelle Hart (Source: Google)


The offices are clean and modern. The dental assistant explained every single thing she did in detail and then, the dentist took my breath away with the knowledge, the sharing of it and her understanding of how toxic metal is in one’s mouth. I have been looking for this dental office all my life and am relieved I have finally found it.

Traci W. from San Jose, CA (Source: Yelp)


We’ve been paients here for several years and have nothing but praise for the kind, helpful and efficient office staff. The technicians are warm and gentle and do a beautiful job of keeping my family’s teeth healthy. Although this isn’t a pediatric office, all three of my kids ask to see Dr. N every time – she is honest, direct and genuinely cares for her patients. We’be been very happy here and strongly recommend this office!

Jessamy C. from Citrus Heights, CA (Source: Yelp)


I have been a patient at Enhancing Smiles for about 15 years. My family and I love the whole staff! They make you feel like family and are so accommodating! I am finally able to do invisalign and the process has been so smooth! I wouldn’t go anywhere else! We love Dr. Nancy, Fay, Jenna, Vicki and Gohli so much! Anyone looking for a good family dentist and or a long term dentist that goes the extra mile for their clientele go to Enhancing Smiles in Los Gatos! PS- You can’t beat the location either! You over look Vasona park!

Leah Wolterman (Source: Google)


WHO LOVES THEIR DENTIST?! I do. Never healthier, nor so pain free… I am grateful to have discovered them when I had to find a new dentist years ago and have been blessed with healthy gums ever since! They performed deep cleaning and recommended a treatment that has since literally eliminated sensitivity (!!), improved the health of my gums and teeth, and likely my heart as a result. The office staff are as caring as Dr Nancy, herself, and I am treated like family ❤ Since relocating, I will be driving to the bay area twice a year for regular visits, as in 55 years I’ve never found any health practice like this one – one of a kind

Tod Peterson (Source: Google)


I had a cracked tooth and needed mercury fillings replaced and searched for holistic dentist Los Gatos and found Top Down Dental Dr. Nancy Nehawandian. The staff are very nice, and the office is beautiful. It’s a highly educated and skilled dental staff that hold a libraries worth of knowledge about our mouth and its connection to the rest of our body. I have gum recession behind my front lower teeth and find out from Top Down Dental that its caused by a condition called “tongue-tie” that restricts the tongues range of motion and its ability to touch the roof of the mouth. Julie an amazing hygienist who corrects the tongue-tie problem says that tongue-tie causes the tongue to clamp down. Top Down Dental was the only dentist office to connect gum recession to my tied tongue. I also learned that root canals permanently shut off blood and nerve supply making it a dead tooth and then a breeding ground for bacteria to multiply and then circulate throughout the body. Faye administered the 11-microbes test and the results showed I’m at risk for cardiovascular and respiratory disease as well as diabetes. Top Down Dental is a pioneer in healthy mouth healthy body dentistry care. Don’t take a chance and dental care that’s not smart. Get evaluated and get under care at Top Down Dental.

Bob L. from Auburn, CA (Source: Yelp)


I’ve been seeing Dr. Nancy and her team for so long that I’ve lost track of how many years it’s been! Dr. Nancy is the BEST dentist and I still go back to see her even after moving out of the Bay Area late last year. I’m never nervous about visiting Dr. Nancy because I know that she and the rest of the team will always take care of me and do a fantastic job on my teeth. I’ve seen her for everything from my usual 6 month cleanings to some not so fun root canals. I never feel any pain or discomfort so I can honestly say that I never dread my dentist visits! Everyone in the office is also super friendly. It’s nice that they have a small and tight knit team. You can tell that they all really enjoy the work they do and working with one another. I always enjoy chatting with them whenever I’m in the office. I’ve referred several friends to Dr. Nancy over the past few years and they in turn have referred their friends – everyone thinks Dr. Nancy is a wonderful dentist. All the equipment used is high tech and up to date. There are even screens above each chair and headphones that you can wear – it’s nice to watch TV if you’re getting some more serious work done. There is lots of natural light in the office and it’s in a great location in Los Gatos. I really can’t recommend Dr. Nancy and the rest of the team enough – you will not want to visit another dentist ever again!!

John C. from San Jose, CA (Source: Yelp)


I love these guys – Nancy is the best dentist I’ve ever had. Thorough cleanings, brilliant girl at the front desk who helps you find appointment times easily and who is an expert at navigating insurance (so rare to find someone smart and focused on customer service at a front desk anywhere – she’s a friendly dynamo). Went through a root canal under Nancy’s guidance (she doesn’t do the root canal – but did a great job on the crown afterward) and felt like I got incredible advice and service. She’s very communicative and caring, and answers all of my questions big (what is a root canal exactly?) and small (what electric toothbrush to buy?). Office is spotless and all equipment is state-of-the-art. I feel so lucky to have found them – my last two dentists left me worse off than when I started, and Nancy finally got my train back on the right track. They happen to be near where I live/work, but would go to them happily even if they weren’t.

Ethel McKay (Source: Google)


Dr Nancy and staff are caring, efficient and provide high quality service. The front desk staff and assistants are very helpful, always providing service with a smile. Jenna, the hygienist has got to be the best one I’ve ever been to! Dr Nancy is incredibly fast and very effective at her work. The entire staff places a lot of emphasis on the patient’s comfort, from providing amenities (DVD to watch, hand lotion, neck heat pack), to ensuring comfort and pain management during treatment; they communicate about each step, recommendations are clear and effective.

Lindsey F. from Sequoyah, Oakland, CA (Source: Yelp)


I feel like the most blessed person in the world to have found Dr. Nancy and her fabulous staff at Top Down Dental. I’ve had a lot of traumatic experiences throughout my life with dentists and dental procedures, but the sincere concern and top notch care provided by Dr. Nancy and her team are bar none. I literally feel like I am going to a spa or being treated like royalty when I go in there. The massaging chairs, ambient music via headphones, heated neck pillows and more are provided for you while you are being worked on. This is so relaxing, healing and really helps ease the pain of having to get any array of dental procedures done. Besides the amazing amenities, Dr. Nancy Nehawandian is one of the most intelligent, in tune, nurturing doctors I’ve ever met- in any medical profession. Beyond her many traditional certifications, she offers a holistic approach to provide her patients with the best possible care that is up to date with the times, techniques and technology. She even offers ozone therapy in her treatments! I simply cannot say enough wonderful things about Dr. Nancy and the incredible people she has on her team.

Nazzy T. from Saratoga, CA (Source: Yelp)


I have been going to Dr. Nancy for the past 5 years. She and her staff go out of their way to make you feel welcome and comfortable while you’re there. From the relaxing massage chairs, relaxing lotions, and steamed hand towel infused with lavender oil, this dentist office feels like a spa. I highly recommend going to Dr. Nancy as she is experienced, knowledgeable and really kind. She and her team are the best!

Jackie A. from San Francisco Bay Area, CA (Source: Yelp)


I am so happy with the quality of work done on my teeth, the impeccable aesthetics and superior customer service. If you have the Groupon, come here! I did and I received an awesome cleaning, got to know Jenna (ask for her, she is so kind and amazing), and received great health advice for the quality of my teeth. I’d come here again, and fully recommend you receiving top-notch service at Enhancing Smiles.

Niloufar N. from Campbell, CA (Source: Yelp)


Dr. Nehawandian has been my dentist for years and I can’t imagine going to any other dental office than Top Down Dental. I typically get nervous before going to the dentist but everyone at this office makes me feel at home. At the office, they have different systems and tools that make you feel relaxed before your treatment. During my procedure, I typically enjoy a movie and use the massage feature on the chair. The hygienist is very friendly and knowledgeable. She spends lots of time educating me about the importance of healthy teeth and gums. Dr. Nehawandian always explains any necessary procedures. She takes the time to explain my options to me and will answer any questions that I have. I love how everyone who works there takes the time to get to know me and my health personally and is extremely friendly every time I visit.

Silver K. from Los Gatos, CA (Source: Yelp)


5 Stars! The Staff and Dr. Nancy Nehawandian of Top Down Dental are  the nicest and most professional dental team in the Bay.  As soon as you walk into their waiting room, you are greeted, and can hang out in their comfortable waiting room.  During uncomfortable procedures, Dr Nancy allows you to watch a movie or use the NuCalm system, where you take minerals and listen to relaxing music.  Between teeth cleaning (6 months), Dr. Nancy finds ways to improve  & innovate her business.  One of my favorite new features is text reminders of when my next appointment will be, so helpful! I highly recommend Top Down Dental to anyone in search of the right dentist.  Dr Nancy is a great dentist and all her employees are warm and friendly! Check them out on the net at

Barbara Guillen (Source: Google)


I’m the biggest wimp when it comes to the dentist. I just walked out of the office with a smile on my face and ready to skip to my car. Mind you, I just got my dental implant placed. No sedation needed even though it was offered ! I walked in scared and nervous about the procedure. Minutes later, she tapped my shoulder to say I was done. Easy peasy !! Promise, didn’t even hurt! I’ve been with Dr. Nancy for over 25 years. She’s quick , fast and does an outstanding job !

Laura Phillips (Source: Google)


I recently switch to Top Down Dental after my former natural/holistic dentist quit taking my insurance (I was happy with him). I researched extensively to find a Dr. that would be more natural/holistic and not just treat “symptoms” as well as using non-toxic materials. I found Dr. Nancy and have been very impressed with her knowledge, experience but mostly her patient way of explaining treatments and recommendations. The visits are very “gentle” and the experience is “spa like”.

Michael S. from San Jose, CA (Source: Yelp)


Dr. Nancy and her team do their continuing education at the prestigious Las Vegas Institute (LVI). They are part of a movement of dental professionals that strive for the highest possible standards and comprehensive care (which every patient deserves), and yet Top Down Dental still manages to continually exceed my expectations. My childhood dentist was the founder of LVI, and I’m so thankful for that. I didn’t get my first cavity until my mid-thirties, and that was only due to circumstances that kept me away from the dentist for an extended time. These are the reasons you should go to Top Down Dental: 1) Beautiful office located in Los Gatos. 2) The staff’s amazing attention to detail, and their pursuit of the highest standards. 3) Comprehensive care all under one roof. Dr. Nancy has the big picture in mind, and does high quality cosmetic work while looking for and treating disorders that may effect your health – sleep apnea, TMJ, infections, etc. 4) You can watch movies or listen to music while work is being done, and the chair gives you a massage. Going to the dentist is actually pleasant? Who would have guessed?

Ali Z. from San Jose, CA (Source: Yelp)


I have been going to Dr. Nancy for over 15 years. This team is awesome. Very flexible with scheduling to meet with your schedule. never had to wait more than a few minutes in the waiting room. They really put their patients first. Dr Nancy is an excellent dentist and very thorough in her approach. Her office is warm but modern and full of high tech. she is extremely familiar with all of the latest in dental technology and she uses much of it in her office. Dr. Nacy is what you call a “painless” dentist!

Gustavo S. from San Jose, CA (Source: Yelp)


This is an amazing dental office. Dr. Nancy and team (thanks Jenna!) have helped me recover from some complex issues with my oral health. Dr. Nancy is very knowledgeable on the lastest technologies and treatments available and this makes a huge difference. The staff is absolutely amazing and the office itself very cozy and comfortable. Could not be happier about having my dental treatment with them.

Morganna Hayes (Source: Google)


Doctor and staff were very understanding and helpful with my concerns. I explained my horrible dental experiences in the past and they made sure to take those into consideration when setting forth my plan for treatment. I told them I fall on the more holistic side for products that I use, and they had no problem cooperating with that. Im very excited to have found top down dental!

Kira Ferriz (Source: Google)


Hands down the best dentist our family has ever been too. We were looking for a holistic dentist to switch too and unfortunately there was not one in our area. For us it was completely worth the drive. Dr. Nehawandian listened to every concern I had with the things that were being pushed on our children in the previous modern dentistry practice we were at before. She thoroughly explained her reasoning for every concern we had, and Also made sure to explain every single step in what they were doing with our children. We left feeling refreshed and 100% satisfied with every procedure that was given! Thank you so much for taking the time to treat our whole family and working with us knowing we had traveled a good amount aways! Our children are already looking forward to their next appointment!

Donna M. from Los Gatos, CA (Source: Yelp)


I am a new patient to Dr. Nancy’s office this year. From the very start, her website, staff and the office itself made me feel comfortable about going to her and seeking some badly needed dental work. The entire staff is always there to answer your questions (financial, procedure plans) and Dr. Nancy herself has from day one shown me total professionalism and her knowledge is impressive. The office has many added perks (massaging chairs, movies and hand treatment! during your procedures). I’ve had 2 neck fusions so they provided me with a warm neck pillow at each visit!!. I’ve experienced, deep cleaning from Jenna, 2 regular fillings and nine…yes that was 9 new porcelain caps over the course of 4 months and seriously I was comfortable every time…but the best part is each cap fit perfectly the first time and didn’t require additional visits, AMAZING. I HIGHLY recommend Dr. Nancy and her wonderful staff, Jenna, Faye, Vicky, Goya from Enhancing Smiles in Los Gatos,.

Matthew V. from Saratoga, CA (Source: Yelp)


Dr. Nancy is what I call her since it is difficult to pounce/spell the last name. Beside the difficulty with the last name I had no other problems with my visit to her office. I was most impressed with her professional friendly staff and Dr. Nancy’s diagnosis was accurate and she provided all the possible treatment options and costs and their alternative paths that I may need to follow. I appreciated her honesty and due diligence in her practice and her excellent abilities as a dentist. It has been years since I have trusted dentists in general. A co worker suggested that I go see her and I am glad I did. I would rate her a top dentist in los Gatos/ Saratoga area and her extensive knowledge and education which reflects in her advanced general dental abilities sets her above general dentists that I have come across in the past 30 years. I highly recommend her and many thanks to her and her staff.

Safa S. from Cupertino, CA (Source: Yelp)


Dr. Nancy truly gets to the heart of your dental needs. She treats each patient in a personal way and makes sure to do everything she can to improve your dental health. Her office is really relaxing and takes away those typical dentist pressures. Her staff is really caring and helpful. I have been going to her office for a while now and look forward to many more years with her as my dentist. If you’re looking for a dentist who is committed to your health, go to Dr. Nancy!

Nasim H. from Cupertino, CA (Source: Yelp)


Dr. Nancy has been my dentist for some 20 years now. She is so well educated and amazing. The way she cares by having digital Xrays before they were even the “in” thing to do. She always seems to be ahead of her time. My son was a mouth breather and she told us when he was only 2 years old. She insisted we need to consult an ENT and get his sleep apnea issues resolved. She educated us through out the whole process on the effects of sleep apnea on children and how it effects jaw formations. Thank you Dr. Nancy for everything..

Gustavo Santos (Source: Google)


I started seeing Dr. Nancy after a recommendation from another fantastic dentist I know (who is now retired) from another state. When I started seeing her, I had multiple problems in my tooth due to an implant badly done. Dr Nancy was able to make me recover from that situation quickly and make recommendations which would make my general oral health much better in the long run. It was a complete 180 turn for me. I completely recommend this place. To top it all, the staff is amazing!

Niloufar Nikoo (Source: Google)


I have been going to Top Down Dental for years and I can’t imagine going to any other dental office. I typically get nervous before going to the dentist but everyone at this office makes me feel at home. At the office, they have different systems and tools that make you feel relaxed before your treatment. During my procedure, I typically enjoy a movie and use the massage feature on the chair. The hygienist is very friendly and knowledgeable. She spends lots of time educating me about the importance of healthy teeth and gums. Dr. Nehawandian always explains any necessary procedures. She takes the time to explain my options to me and will answer any questions that I have. I love how everyone who works there takes the time to get to know me and my health personally and is extremely friendly every time I visit.

S. C. from San Francisco, CA (Source: Yelp)


Dr. Nancy was an amazing dentist. I had not visited a dentist in many years and was very nervous because I typically get very anxious before and during dental/medical appointments. Dr. Nancy took the time to explain each step of the cleaning process and was very gentle and thorough. Her staff was also very pleasant and helpful. Overall, I would recommend her to any and all people in need of a dentist and most definitely found a new dentist to continue to work with. Thanks!

Elika H. from Cupertino, CA (Source: Yelp)


I have been going to Top Down Dental since I was a child, and after my wonderful experiences I will continue to do so as I enter the threshold of adulthood. The experience is relaxing, and catered to the patient. 1. Parking is never an issue in the spacious lot in front of the office. 2. Entering the office, you walk into the clean and modern waiting room and settle into a large armchair. The amazing Vicki is at the front desk, greeting you with a smile. There is coffee and tea, juices in the fridge, and usually some type of cookie for your snacking enjoyment. Usually the wait isn’t long, so you don’t get to spend much time in the waiting room. 3. For patients who experience anxiety at the dentist, there is a serene room with technology like NuCalm and a massage chair. 4. Typically a hygienist will come to retrieve you, and take you to your room. A fun bonus: if you want, you can choose to watch a movie during your appointment! The rooms are comfortable and clean. You take a seat into the comfortable chair, facing the nature of Los Gatos. 5. Depending on the type of appointment you scheduled, either you will be greeted a gentle but methodical hygienist (the wonderful Briar or Kim) or by the experienced and thorough Dr. Nancy. Dr. Nancy is extensively knowledgeable in her practice. One of the best dentists in the area, she is detailed and methodical in her practice, and stays on top of new dental technologies. More than that, she is caring and kind with her patients. The services she offers have helped my whole family; my brother’s breathing problems have been alleviated with a night time mouth guard, and my mother’s chipped crown from a ski accident was elegantly repaired by Dr. Nancy. Her smile looks better than ever. Another bonus: the experience is relaxing and fun for children as well! The movies are an exciting distraction and as a child I was offered small toys, ‘treasures,’ from a treasure chest after appointments. Overall, Top Down Dental is simply a fantastic gem of a dentistry in Los Gatos. I plan to continue visiting their practice as long as I live in the Silicon Valley.

Melissa T. from Los Altos, CA (Source: Yelp)


Top Down Dental is awesome, and crazy as it may sound, I look forward to going to my dental cleanings. I’ve been a patient of Dr Nancy’s for nearly 25 years, and appreciate the care and compassion she and her amazing team bring to their work. The place is lovely, sparkling clean, with massage chairs that make the cleaning whiz by. Processing our insurance has always been masterfully handled by Vicki to assure we made the best use of our dental plan’s coverage. I highly, highly recommend Top Down Dental.

Bronty Hooch (Source: Google)


I have been going to Dr. Nancy for over 18 years now and I have never thought about changing dentists. She is honest about your oral health and is truly committed to best serving your needs. Her skills are unique in that she is able to find a solution to any problem you may have. Unlike other dentists, she tries to solve the root of the problem instead of masking the pain. In addition, her team is always there to help and makes sure your experience is a pleasant one.

Maja S. from Santa Clara, CA (Source: Yelp)


Love Dr. Nancy and the entire team. Who would have thought that you can look forward to going to the dentist?! I started to come here about 2 years ago because I had terrible TMJ, no dentist that wanted to treat it or was willing to even acknowledge what I have and no advice I felt I could trust. After much online research I found Dr. Nancy. First she took pictures of my posture, then of my mouth and ran numerous tests. Then I got braces and the TMJ is much much better. Treatment is not complete yet, but I can feel the improvement and feel like it has been a success already. I can only recommend her as a dentist. Not only does she look at your teeth, but more your body as a whole and how other parts may actually impact your bite. She has the latest technology in her office so that she can really treat whatever you may have. I feel like I can trust her and she is honest with me, which is definitely key with dentists. Also, she really explains to you what is going on… she shows you pictures and xrays on a big screen to show you the problem and makes sure you understand what you are paying for. 🙂 The staff is also amazing. Vicky and Fey are so nice. They always greet you with a smile, remember you, know stories and make it just a nice experience to be there. The office is beautiful and warm. And if you are lucky, you even get to sit in the massage chair and watch a movie for a bit while getting treatment. 🙂 If you can’t tell, I absolutely love it and can only recommend it. I don’t know if it is more or less expensive than other dentists… but for me going there is worth every penny. 🙂