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DENTAL SAAS

Grin

Senior Node.js Developer · Aug 2025 — Present · Remote

Cloud-native dental SaaS platform digitizing end-to-end practice workflows with AI-powered diagnostics, real-time patient engagement, and multi-channel communications.

28 Microservices
60+ Database tables
11 ML / AI services
4 Client applications

Traditional dental practices lacked digital patient management, remote treatment monitoring, automated diagnostics, and multi-provider coordination. The platform needed to unify these capabilities into a cohesive system that could scale across practices while maintaining real-time responsiveness and clinical accuracy.

I build and maintain microservices across the backend, contribute to the React and React Native frontends, and integrate AI/ML pipelines into the core product. My work spans event-driven architecture design, real-time subscription infrastructure, and cross-platform feature delivery across web and mobile clients.

Client layer React web portal, React Native mobile app, iOS native app, onboarding flow
Auth & API gateway Managed auth with OAuth 2.0 and MFA, GraphQL API with real-time subscriptions
Backend / Services / ML
28 microservices (Express + serverless)
Core platform (31 functions)
11 ML services (computer vision, NLP)
Event backbone & data DynamoDB (60+ tables), event streaming with fan-out, message queues, search index, real-time WebSocket
External integrations Payment processing, CRM, video consultations, fulfillment, practice management systems
Event-Driven Architecture

Decoupled service communication through an event backbone with fan-out patterns. Services publish domain events that trigger downstream workflows without direct coupling, enabling independent scaling and deployment of each microservice.

Platform-wide
Treatment Lifecycle Engine

State machine orchestrating the full patient treatment journey from initial assessment through active treatment to completion. Each transition triggers appropriate notifications, record updates, and provider alerts across the system.

Core workflow
Multi-Channel Notifications

Unified notification system delivering messages across SMS, email, push notifications, and in-app channels. Channel selection is driven by patient preferences and message urgency, with delivery tracking and retry logic for each channel.

Patient engagement
AI Diagnostics Pipeline

Integration layer connecting 11 ML services for computer vision analysis and natural language processing. The pipeline handles image ingestion, model inference, confidence scoring, and result delivery back to the clinical workflow in real time.

ML integration
Real-Time Collaboration

WebSocket-based infrastructure enabling live updates between providers, patients, and the platform. GraphQL subscriptions push treatment changes, appointment updates, and diagnostic results to connected clients without polling.

Provider experience
Shared SDK Platform

Internal SDK consumed by all microservices, providing standardized patterns for authentication, event publishing, database access, and error handling. Reduces boilerplate and enforces consistency across the 28-service architecture.

Developer platform
Backend
Node.jsTypeScriptExpressServerless FrameworkGraphQL
Frontend
ReactReact NativeRedux ToolkitMaterial-UI
Cloud & Data
AWS LambdaDynamoDBKinesisS3CloudFrontIoT Core
Patterns & Tooling
Event sourcingCDCCircuit breakerCQRSJestCypress
  • Built and maintained 28+ microservices
  • Designed event-driven architecture with fan-out patterns
  • Full-stack delivery across web/mobile/serverless
  • Integrated AI/ML services for real-time diagnostics
  • Built multi-channel notification system
  • Contributed to shared SDK used by all services