| LCA CASE NUMBER | I-200-22055-927414 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-02-24 |
| DECISION DATE | 2022-03-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2022-02-24 |
| END DATE | 2023-04-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Affiliated Family Dentists |
| EMPLOYER ADDRESS1 | 605 W. Douglas Rd. |
| EMPLOYER CITY | Mishawaka |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46545 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15742772220 |
| NAICS CODE | 62121 |
| EMPLOYER POC LAST NAME | Miller |
| EMPLOYER POC FIRST NAME | Michelle |
| EMPLOYER POC JOB TITLE | Human Resources Generalist |
| EMPLOYER POC ADDRESS1 | 605 W. Douglas Rd. |
| EMPLOYER POC CITY | Mishawaka |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46545 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15742772220 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Durham |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY MIDDLE NAME | E |
| AGENT ATTORNEY ADDRESS1 | 201 S. Main Street |
| AGENT ATTORNEY CITY | South Bend |
| AGENT ATTORNEY STATE | IN |
| AGENT ATTORNEY POSTAL CODE | 46601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15742371145 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Barnes & Thornburg LLP |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 605 W. Douglas Rd. |
| LCA CASE WORKLOC1 CITY | Mishwaka |
| WORKSITE COUNTY | ST JOSEPH |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46545 |
| LCA CASE WAGE RATE FROM | 150.25 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 92.15 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
