| LCA CASE NUMBER | I-200-22062-947411 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-03-03 |
| DECISION DATE | 2022-03-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2022-03-14 |
| END DATE | 2025-03-13 |
| 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 | Kids & Adults Dental Care Inc. |
| TRADE NAME DBA | Kids & Adult Dental Center |
| EMPLOYER ADDRESS1 | 4625 South Emerson Avenue |
| EMPLOYER ADDRESS2 | Suite A |
| EMPLOYER CITY | Indianapolis |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46203 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13179914725 |
| NAICS CODE | 62121 |
| EMPLOYER POC LAST NAME | Green |
| EMPLOYER POC FIRST NAME | Holli |
| EMPLOYER POC JOB TITLE | Practice Administrator |
| EMPLOYER POC ADDRESS1 | 4625 South Emerson Avenue |
| EMPLOYER POC ADDRESS2 | Suite A |
| EMPLOYER POC CITY | Indianapolis |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46203 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13179914725 |
| EMPLOYER POC EMAIL | Hollig520@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Marques |
| AGENT ATTORNEY FIRST NAME | Ryan |
| AGENT ATTORNEY MIDDLE NAME | C. |
| AGENT ATTORNEY ADDRESS1 | 2500 One American Square |
| AGENT ATTORNEY ADDRESS2 | Suite 2500 |
| AGENT ATTORNEY CITY | Indianapolis |
| AGENT ATTORNEY STATE | IN |
| AGENT ATTORNEY POSTAL CODE | 46282 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13176391210 |
| AGENT ATTORNEY EMAIL ADDRESS | Rmarques@lewis-kappes.com |
| LAWFIRM NAME BUSINESS NAME | Lewis Kappes PC |
| STATE OF HIGHEST COURT | IN |
| NAME OF HIGHEST STATE COURT | U.S. Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 4625 South Emerson Avenue |
| WORKSITE ADDRESS2 | Suite A |
| LCA CASE WORKLOC1 CITY | Indianapolis |
| WORKSITE COUNTY | MARION |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46203 |
| LCA CASE WAGE RATE FROM | 106.25 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 53.52 |
| 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 |
