Old Town (or Oldtown) is a former unincorporated community in North Carolina which was annexed by Winston-Salem. It was located near Bethania, Tobaccoville, and Pfafftown along NC 67. The name now refers to a neighborhood that occupies the former unincorporated community limits.
The Old Town Center, a shopping center which opened in the second quarter of the 1960s, has had an increase of development over the years. It includes national retail establishments and restaurants Other non-local establishments are also featured at the shopping center. Old Town Park and its Neighborhood Center is south of the neighborhood towards Pfafftown.