| LCA CASE NUMBER | I-200-21091-191554 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-01 |
| DECISION DATE | 2021-04-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | DENTIST |
| SOC CODE | 29-1029.00 |
| SOC TITLE | Dentists, All Other Specialists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-05-01 |
| END DATE | 2024-04-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | JAYA L. DENTAL ARTS PLLC. |
| TRADE NAME DBA | ADVANCED DENTAL IMPLANT & TNJ CENTER |
| EMPLOYER ADDRESS1 | 7135 GETWELL ROAD |
| EMPLOYER CITY | SOUTHAVEN |
| EMPLOYER STATE | MS |
| EMPLOYER POSTAL CODE | 38672 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16626554868 |
| NAICS CODE | 62121 |
| EMPLOYER POC LAST NAME | ADATROW |
| EMPLOYER POC FIRST NAME | PRADEEP |
| EMPLOYER POC JOB TITLE | PRESIDENT |
| EMPLOYER POC ADDRESS 1 | 7135 GETWELL ROAD |
| EMPLOYER POC CITY | SOUTHAVEN |
| EMPLOYER POC STATE | MS |
| EMPLOYER POC POSTAL CODE | 38672 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16626554868 |
| EMPLOYER POC EMAIL | PADATROW@GMAIL.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | JAYARAMAN |
| AGENT ATTORNEY FIRST NAME | K. |
| AGENT ATTORNEY ADDRESS1 | 3483 HIGHLAND PARK PLACE |
| AGENT ATTORNEY CITY | MEMPHIS |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 38111 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19015228242 |
| AGENT ATTORNEY EMAIL ADDRESS | KJAYLAW@YAHOO.COM |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICES OF K. JAYARAMAN |
| STATE OF HIGHEST COURT | TN |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 7135 GETWELL ROAD |
| LCA CASE WORKLOC1 CITY | SOUTHAVEN |
| WORKSITE COUNTY | DESOTO |
| LCA CASE WORKLOC1 STATE | MS |
| WORKSITE POSTAL CODE | 38672 |
| LCA CASE WAGE RATE FROM | 167000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 152298 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | JAYARAMAN |
| PREPARER FIRST NAME | K. |
| PREPARER BUSINESS NAME | LAW OFFICES OF K. JAYARAMAN |
| PREPARER EMAIL | KJAYLAW@YAHOO.COM |
