| LCA CASE NUMBER | I-200-21272-614345 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-29 |
| DECISION DATE | 2021-10-06 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Associate Dentist - General Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-07 |
| END DATE | 2024-10-06 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Great Expressions Dental Centers of Massachusetts, PC |
| EMPLOYER ADDRESS1 | 567 Southbridge Street |
| EMPLOYER ADDRESS2 | Unit 7 |
| EMPLOYER CITY | Auburn |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 01501 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12485031101 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Kim |
| EMPLOYER POC FIRST NAME | Paul |
| EMPLOYER POC MIDDLE NAME | J. |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 567 Southbridge Street |
| EMPLOYER POC ADDRESS2 | Unit 7 |
| EMPLOYER POC CITY | Auburn |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 01501 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12482031101 |
| EMPLOYER POC EMAIL | legal@greatexpressions.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wagner |
| AGENT ATTORNEY FIRST NAME | David |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 2000 South Colorado Boulevard, Tower 3 |
| AGENT ATTORNEY ADDRESS2 | Suite 900 |
| AGENT ATTORNEY CITY | Denver |
| AGENT ATTORNEY STATE | CO |
| AGENT ATTORNEY POSTAL CODE | 80222 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13037646802 |
|
| AGENT ATTORNEY EMAIL ADDRESS | david.wagner@ogletree.com |
| LAWFIRM NAME BUSINESS NAME | Ogletree Deakins |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Illinois Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 5 Cheshire Road |
| WORKSITE ADDRESS2 | Suite 16 |
| LCA CASE WORKLOC1 CITY | Pittsfield |
| WORKSITE COUNTY | PITTSFIELD CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 01201 |
| LCA CASE WAGE RATE FROM | 150000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 138694 |
| 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 |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Cude |
| PREPARER FIRST NAME | MyKala |
| PREPARER BUSINESS NAME | Ogletree Deakins |
| PREPARER EMAIL | mykala.cude@ogletreedeakins.com |
