| LCA CASE NUMBER | I-200-21312-692857 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-11-08 |
| DECISION DATE | 2021-11-16 |
| 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 | 2022-03-01 |
| END DATE | 2025-02-28 |
| 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 | Pine Street Dental Associates P.C. |
| EMPLOYER ADDRESS1 | 3 Plattekill Avenue |
| EMPLOYER CITY | New Paltz |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 12561 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18458538325 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Fliegler |
| EMPLOYER POC FIRST NAME | Brett |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 3 Plattekill Avenue |
| EMPLOYER POC CITY | New Paltz |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 12561 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18458538325 |
| EMPLOYER POC EMAIL | bfliegler@brookbeamdental.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | New |
| AGENT ATTORNEY FIRST NAME | Courtney |
| AGENT ATTORNEY MIDDLE NAME | H |
| AGENT ATTORNEY ADDRESS1 | 1300 Clinton Square |
| AGENT ATTORNEY CITY | Rochester |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14014541116 |
| AGENT ATTORNEY EMAIL ADDRESS | cnew@nixonpeabody.com |
| LAWFIRM NAME BUSINESS NAME | Nixon Peabody LLP |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3 Plattekill Avenue |
| LCA CASE WORKLOC1 CITY | New Paltz |
| WORKSITE COUNTY | ULSTER |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 12561 |
| LCA CASE WAGE RATE FROM | 150000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 147222 |
| 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 | Pereira |
| PREPARER FIRST NAME | Rebecca |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | Nixon Peabody LLP |
| PREPARER EMAIL | rpereira@nixonpeabody.com |
