| LCA CASE NUMBER | I-200-23206-214201 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-07-25 |
| DECISION DATE | 2023-08-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Associate Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-08-14 |
| END DATE | 2026-08-13 |
| 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 | Northwood Dental Partners PLLC |
| EMPLOYER ADDRESS1 | 3023 Eastland Blvd |
| EMPLOYER ADDRESS2 | Ste 112 |
| EMPLOYER CITY | Clearwater |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 33761 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17277975161 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Master |
| EMPLOYER POC FIRST NAME | Jiten |
| EMPLOYER POC JOB TITLE | Owner/Manager |
| EMPLOYER POC ADDRESS1 | 3023 Eastland Blvd |
| EMPLOYER POC ADDRESS2 | Ste 112 |
| EMPLOYER POC CITY | Clearwater |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 33761 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17277975161 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Locke |
| AGENT ATTORNEY FIRST NAME | Lisa |
| AGENT ATTORNEY ADDRESS1 | 1775 Wiehle Ave |
| AGENT ATTORNEY ADDRESS2 | Ste 200 |
| AGENT ATTORNEY CITY | Reston |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 20190 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17037969898 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Goel & Anderson LLC |
| STATE OF HIGHEST COURT | MD |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3023 Eastland Blvd |
| WORKSITE ADDRESS2 | Ste 112 |
| LCA CASE WORKLOC1 CITY | Clearwater |
| WORKSITE COUNTY | PINELLAS |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 33761 |
| LCA CASE WAGE RATE FROM | 150000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 111800 |
| 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 | Locke |
| PREPARER FIRST NAME | Lisa |
| PREPARER BUSINESS NAME | Goel & Anderson LLC |
| PREPARER EMAIL | [email protected] |
