| LCA CASE NUMBER | I-200-21239-550691 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-27 |
| DECISION DATE | 2021-09-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-13 |
| END DATE | 2024-07-13 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Brinton Lake Dental Associates, LLC |
| TRADE NAME DBA | The Dentists at Brinton Lake |
| EMPLOYER ADDRESS1 | 145 Brinton Lake Road |
| EMPLOYER ADDRESS2 | Suite 300 |
| EMPLOYER CITY | Glen Mills |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 19342 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14848415986 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | D'Angelo |
| EMPLOYER POC FIRST NAME | Paige |
| EMPLOYER POC JOB TITLE | VP Professional Development |
| EMPLOYER POC ADDRESS1 | 145 Brinton Lake Drive |
| EMPLOYER POC ADDRESS2 | Suite 300 |
| EMPLOYER POC CITY | Glen Mills |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 19342 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16098288986 |
| EMPLOYER POC EMAIL | pdangelo@sbsmiles.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Clare |
| AGENT ATTORNEY FIRST NAME | James |
| AGENT ATTORNEY MIDDLE NAME | Gregory |
| AGENT ATTORNEY ADDRESS1 | 2933 Bowman Avenue |
| AGENT ATTORNEY CITY | Louisville |
| AGENT ATTORNEY STATE | KY |
| AGENT ATTORNEY POSTAL CODE | 40205 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15024513030 |
| AGENT ATTORNEY EMAIL ADDRESS | greg.clare@jgclare.com |
|
| LAWFIRM NAME BUSINESS NAME | Law Office of J. Gregory Clare |
| STATE OF HIGHEST COURT | KY |
| NAME OF HIGHEST STATE COURT | U.S. Supreme Court & Commonwealth of Kentucky |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 145 Brinton Lake Road |
| WORKSITE ADDRESS2 | Suite 300 |
| LCA CASE WORKLOC1 CITY | Glen Mills |
| WORKSITE COUNTY | DELAWARE |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 19342 |
| LCA CASE WAGE RATE FROM | 210000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 131893 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Clare |
| PREPARER FIRST NAME | James |
| PREPARER MIDDLE INITIAL | G |
| PREPARER BUSINESS NAME | Law Office of J. Gregory Clare |
| PREPARER EMAIL | greg.clare@jgclare.com |
