| LCA CASE NUMBER | I-200-23156-079457 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-06-05 |
| DECISION DATE | 2023-06-12 |
| 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 | 2023-06-20 |
| END DATE | 2025-06-19 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | One Family Dental, LLC |
| EMPLOYER ADDRESS1 | 2826 S. State Rd 135 |
| EMPLOYER ADDRESS2 | Suite C |
| EMPLOYER CITY | Greenwood |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46143 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13174970666 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Krishnan |
| EMPLOYER POC FIRST NAME | Sudhakar |
| EMPLOYER POC JOB TITLE | Manager |
| EMPLOYER POC ADDRESS1 | 2826 S. State Road 135 |
| EMPLOYER POC ADDRESS2 | Suite C |
| EMPLOYER POC CITY | Greenwood |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46143 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12607500418 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Patel |
| AGENT ATTORNEY FIRST NAME | Apexa |
| AGENT ATTORNEY ADDRESS1 | 10214 Chestnut Plaza Drive |
| AGENT ATTORNEY ADDRESS2 | Suite # 159 |
| AGENT ATTORNEY CITY | Fort Wayne |
| AGENT ATTORNEY STATE | IN |
| AGENT ATTORNEY POSTAL CODE | 46814 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12604039736 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Law Office of Apexa Patel, LLC |
| STATE OF HIGHEST COURT | IN |
| NAME OF HIGHEST STATE COURT | Indiana Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | One Family Dental Warren, LLC dba One Family Dental |
| WORKSITE ADDRESS1 | 2826 S. State Rd 135 |
| LCA CASE WORKLOC1 CITY | Greenwood |
| WORKSITE COUNTY | JOHNSON |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46143 |
| LCA CASE WAGE RATE FROM | 180300 |
| LCA CASE WAGE RATE TO | 180500 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 180253 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
