| LCA CASE NUMBER | I-200-21119-270532 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-29 |
| DECISION DATE | 2021-05-06 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | North Hills Dental LLC |
| TRADE NAME DBA | Family Dentistry of Meridian |
| EMPLOYER ADDRESS1 | 19111 Detroit Road |
| EMPLOYER ADDRESS2 | Suite 206 |
| EMPLOYER CITY | Rocky River |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 44116 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14403562089 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Pettet |
| EMPLOYER POC FIRST NAME | Timothy |
| EMPLOYER POC JOB TITLE | Business Manager |
| EMPLOYER POC ADDRESS 1 | 19111 Detroit Road |
| EMPLOYER POC ADDRESS 2 | Suite 206 |
| EMPLOYER POC CITY | Rocky River |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 44116 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14403562089 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wilkinson |
| AGENT ATTORNEY FIRST NAME | Yubia |
| AGENT ATTORNEY MIDDLE NAME | Briceida |
| AGENT ATTORNEY ADDRESS1 | 1468 W 9th Street |
| AGENT ATTORNEY ADDRESS2 | Suite 705 |
| AGENT ATTORNEY CITY | Cleveland |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 44113 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12168614414 |
|
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Robert Brown LLC |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Ohio Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2700 North Hills Street |
| LCA CASE WORKLOC1 CITY | Meridian |
| WORKSITE COUNTY | LAUDERDALE |
| LCA CASE WORKLOC1 STATE | MS |
| WORKSITE POSTAL CODE | 39305 |
| LCA CASE WAGE RATE FROM | 113734 |
| LCA CASE WAGE RATE TO | 150000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 113734 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
