| LCA CASE NUMBER | I-200-23226-260904 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-08-14 |
| DECISION DATE | 2023-08-21 |
| 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 | 2023-09-25 |
| END DATE | 2026-09-24 |
| 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 | Edward M. Kennedy Community Health Center |
| EMPLOYER ADDRESS1 | 115 Northeast Cutoff, Building 2 |
| EMPLOYER ADDRESS2 | Suite 200 |
| EMPLOYER CITY | Worcester |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 01606 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15085327311 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Kerrigan |
| EMPLOYER POC FIRST NAME | Stephen |
| EMPLOYER POC MIDDLE NAME | J. |
| EMPLOYER POC JOB TITLE | President & CEO |
| EMPLOYER POC ADDRESS1 | 115 Northeast Cutoff, Building 2 |
| EMPLOYER POC ADDRESS2 | Suite 200 |
| EMPLOYER POC CITY | Worcester |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 01606 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15085327311 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Minster |
| AGENT ATTORNEY FIRST NAME | Jake |
| AGENT ATTORNEY MIDDLE NAME | P. |
| AGENT ATTORNEY ADDRESS1 | 100 High Street |
| AGENT ATTORNEY ADDRESS2 | 3rd Floor |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 02110 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16175740400 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | The Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 41 Cape Road |
| LCA CASE WORKLOC1 CITY | Milford |
| WORKSITE COUNTY | WORCESTER CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 01757 |
| LCA CASE WAGE RATE FROM | 120000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 99403 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Thankachan |
| PREPARER FIRST NAME | Donel |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| PREPARER EMAIL | [email protected] |
