| LCA CASE NUMBER | I-200-21242-552763 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-08-30 |
| DECISION DATE | 2022-04-25 |
| ORIGINAL CERT DATE | 2021-09-07 |
| 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 | 2021-10-01 |
| END DATE | 2024-09-30 |
| 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 | Professional Dental Services of Indiana PC |
| TRADE NAME DBA | Bright Tiger |
| EMPLOYER ADDRESS1 | 532 E 81st Ave |
| EMPLOYER CITY | Merrillville |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46410 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19134281675 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Peters |
| EMPLOYER POC FIRST NAME | Eliza |
| EMPLOYER POC JOB TITLE | People Operations Manager |
| EMPLOYER POC ADDRESS1 | 10601 Mission Road |
| EMPLOYER POC ADDRESS2 | Ste 240 |
| EMPLOYER POC CITY | Leawood |
| EMPLOYER POC STATE | KS |
| EMPLOYER POC POSTAL CODE | 66206 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19133551121 |
| EMPLOYER POC PHONE EXT | 242 |
| EMPLOYER POC EMAIL | epeters@brighttiger.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Schneider |
| AGENT ATTORNEY FIRST NAME | Debra |
| AGENT ATTORNEY MIDDLE NAME | A. |
| AGENT ATTORNEY ADDRESS1 | 200 South 6th Street |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55402 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16124927214 |
|
| AGENT ATTORNEY EMAIL ADDRESS | dschneider@fredlaw.com |
| LAWFIRM NAME BUSINESS NAME | Fredrikson & Byron PA |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 532 E 81st Ave |
| LCA CASE WORKLOC1 CITY | Merrillville |
| WORKSITE COUNTY | LAKE |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46410 |
| LCA CASE WAGE RATE FROM | 156000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 111155 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
