| LCA CASE NUMBER | I-200-21099-213010 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-09 |
| DECISION DATE | 2021-04-16 |
| 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 | 2021-09-15 |
| END DATE | 2024-09-14 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Mortenson Dental Health LLC |
| EMPLOYER ADDRESS1 | 10300 Linn Station Road |
| EMPLOYER ADDRESS2 | Suite 100 |
| EMPLOYER CITY | Louisville |
| EMPLOYER STATE | KY |
| EMPLOYER POSTAL CODE | 40223 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15022458500 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Hildreth |
| EMPLOYER POC FIRST NAME | Bryan |
| EMPLOYER POC JOB TITLE | Chief Human Resources Officer |
| EMPLOYER POC ADDRESS 1 | 10300 Linn Station Road |
| EMPLOYER POC ADDRESS 2 | Suite 100 |
| EMPLOYER POC CITY | Louisville |
| EMPLOYER POC STATE | KY |
| EMPLOYER POC POSTAL CODE | 40223 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15022548505 |
| EMPLOYER POC PHONE EXT | 1905 |
| EMPLOYER POC EMAIL | bryan.hildreth@mdpweb.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Gunn |
| AGENT ATTORNEY FIRST NAME | Matthew |
| AGENT ATTORNEY MIDDLE NAME | P. |
| AGENT ATTORNEY ADDRESS1 | 101 South Fifth Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2500 |
| AGENT ATTORNEY CITY | Louisville |
| AGENT ATTORNEY STATE | KY |
| AGENT ATTORNEY POSTAL CODE | 40202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15025402377 |
|
| AGENT ATTORNEY EMAIL ADDRESS | Erica.kendrick@dinsmore.com |
| LAWFIRM NAME BUSINESS NAME | Dinsmore & Shohl LLP |
| STATE OF HIGHEST COURT | KY |
| NAME OF HIGHEST STATE COURT | Supreme Court of Kentucky |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | Kid’s Dentistree New Albany |
| WORKSITE ADDRESS2 | 2325 Green Valley Road, Suite 1 |
| LCA CASE WORKLOC1 CITY | New Albany |
| WORKSITE COUNTY | FLOYD |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 47150 |
| LCA CASE WAGE RATE FROM | 30.69 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 30.69 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| 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 | Kendrick |
| PREPARER FIRST NAME | Erica |
| PREPARER BUSINESS NAME | Dinsmore & Shohl LLP |
| PREPARER EMAIL | erica.kendrick@dinsmore.com |
