| LCA CASE NUMBER | I-200-22245-454102 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-09-02 |
| DECISION DATE | 2022-09-12 |
| 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 | 2022-10-03 |
| END DATE | 2025-10-02 |
| 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 | Diversity Health Center, Inc. |
| EMPLOYER ADDRESS1 | 301 Fraser Drive |
| EMPLOYER CITY | Hinesville |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 31313 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19123183947 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Darby |
| EMPLOYER POC FIRST NAME | Ethoni |
| EMPLOYER POC JOB TITLE | Human Resources Generalist |
| EMPLOYER POC ADDRESS1 | 301 Fraser Drive |
| EMPLOYER POC CITY | Hinesville |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 31313 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19123183656 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Fleming |
| AGENT ATTORNEY FIRST NAME | T. Mills |
| AGENT ATTORNEY ADDRESS1 | 200 East Saint Julian Street |
| AGENT ATTORNEY CITY | Savannah |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 31401 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19122360261 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Hunter Maclean Exley & Dunn PC |
| STATE OF HIGHEST COURT | GA |
| NAME OF HIGHEST STATE COURT | U.S. District Court For Southern District of Georgia |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 303 Fraser Drive |
| LCA CASE WORKLOC1 CITY | Hinesville |
| WORKSITE COUNTY | LIBERTY |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 31313 |
| LCA CASE WAGE RATE FROM | 150000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 114712 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Smith |
| PREPARER FIRST NAME | Natalie |
| PREPARER MIDDLE INITIAL | G. |
| PREPARER BUSINESS NAME | Hunter, Maclean, Exley, and Dunn, P.C. |
| PREPARER EMAIL | [email protected] |
