| LCA CASE NUMBER | I-200-22007-816532 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-01-07 |
| DECISION DATE | 2022-01-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Periodontist |
| SOC CODE | 29-1029.00 |
| SOC TITLE | Dentists, All Other Specialists |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2022-01-17 |
| END DATE | 2025-01-16 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Advanced Dental Specialists, LLC |
| TRADE NAME DBA | Wisconsin Dental Group SC |
| EMPLOYER ADDRESS1 | 1200 Network Centre |
| EMPLOYER ADDRESS2 | Suite 2 |
| EMPLOYER CITY | Effingham |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 62401 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12175405100 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Mette |
| EMPLOYER POC FIRST NAME | Krista |
| EMPLOYER POC JOB TITLE | Director, HR, Employee Relations |
| EMPLOYER POC ADDRESS1 | 1200 Network Centre Drive |
| EMPLOYER POC ADDRESS2 | Suite 2 |
| EMPLOYER POC CITY | Effingham |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 62401 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12175405100 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Feldman |
| AGENT ATTORNEY FIRST NAME | Jason |
| AGENT ATTORNEY MIDDLE NAME | Eric |
| AGENT ATTORNEY ADDRESS1 | 2221 Camino Del Rio South |
| AGENT ATTORNEY ADDRESS2 | Suite 201 |
| AGENT ATTORNEY CITY | San Diego |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92108 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16192999600 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Feldman Feldman & Associates, APC |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 6218 Washington Avenue |
| WORKSITE ADDRESS2 | Suite C |
| LCA CASE WORKLOC1 CITY | Racine |
| WORKSITE COUNTY | RACINE |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 53406 |
| LCA CASE WAGE RATE FROM | 100.96 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 73.97 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Feldman |
| PREPARER FIRST NAME | Jason |
| PREPARER MIDDLE INITIAL | E |
| PREPARER BUSINESS NAME | Feldman Feldman & Associates, APC |
| PREPARER EMAIL | [email protected] |
