| LCA CASE NUMBER | I-200-21281-633013 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-08 |
| DECISION DATE | 2021-10-18 |
| 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 | 2022-01-03 |
| END DATE | 2025-01-02 |
| 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 | Hathaway Road Dental, P.C. |
| TRADE NAME DBA | Cortland Dental Group |
| EMPLOYER ADDRESS1 | 210 Interstate North Pkwy |
| EMPLOYER ADDRESS2 | STE 300 |
| EMPLOYER CITY | Atlanta |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 30339 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | Georgia |
| EMPLOYER PHONE | 17709169593 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Wright |
| EMPLOYER POC FIRST NAME | Jaycee |
| EMPLOYER POC JOB TITLE | HR Business Partner |
| EMPLOYER POC ADDRESS1 | 210 Interstate North Pkwy |
| EMPLOYER POC ADDRESS2 | Suite 300 |
| EMPLOYER POC CITY | Atlanta |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 30339 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | Georgia |
| EMPLOYER POC PHONE | 17709169593 |
| EMPLOYER POC EMAIL | jawright@benevis.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Scofield |
| AGENT ATTORNEY FIRST NAME | Eileen |
| AGENT ATTORNEY ADDRESS1 | 1201 W. Peachtree Street |
| AGENT ATTORNEY ADDRESS2 | Alston & Bird LLP |
| AGENT ATTORNEY CITY | Atlanta |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 30309 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14048817375 |
| AGENT ATTORNEY PHONE EXT | 7375 |
| AGENT ATTORNEY EMAIL ADDRESS | eileen.scofield@alston.com |
| LAWFIRM NAME BUSINESS NAME | Alston & Bird LLP |
| STATE OF HIGHEST COURT | GA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 217 South Street |
| LCA CASE WORKLOC1 CITY | Holyoke |
| WORKSITE COUNTY | HOLYOKE CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 01040 |
| LCA CASE WAGE RATE FROM | 75 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 64.36 |
| PW UNIT OF PAY | Hour |
| 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 |
