| LCA CASE NUMBER | I-200-24254-326384 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-09-10 |
| DECISION DATE | 2024-09-17 |
| 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 | 2024-09-15 |
| END DATE | 2027-09-14 |
| 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 | Community Dental |
| EMPLOYER ADDRESS1 | 190 Park Ave |
| EMPLOYER CITY | Portland |
| EMPLOYER STATE | ME |
| EMPLOYER POSTAL CODE | 04102 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12072722210 |
| EMPLOYER FEIN | 23-7129502 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Watson |
| EMPLOYER POC FIRST NAME | Melissa |
| EMPLOYER POC JOB TITLE | Executive Director |
| EMPLOYER POC ADDRESS1 | 190 Park Ave |
| EMPLOYER POC CITY | Portland |
| EMPLOYER POC STATE | ME |
| EMPLOYER POC POSTAL CODE | 04102 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12072722210 |
| EMPLOYER POC EMAIL | mwatson@communitydentalme.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Ford |
| AGENT ATTORNEY FIRST NAME | Russell |
| AGENT ATTORNEY MIDDLE NAME | C. |
| AGENT ATTORNEY ADDRESS1 | 48 Free Street |
| AGENT ATTORNEY ADDRESS2 | Suite. 300 |
| AGENT ATTORNEY CITY | Portland |
| AGENT ATTORNEY STATE | ME |
| AGENT ATTORNEY POSTAL CODE | 04101 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12076137331 |
| AGENT ATTORNEY EMAIL ADDRESS | russell@fordmurraylaw.com |
| LAWFIRM NAME BUSINESS NAME | FordMurray |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 190 Park Ave |
| LCA CASE WORKLOC1 CITY | Portland |
| WORKSITE COUNTY | CUMBERLAND TOWN |
| LCA CASE WORKLOC1 STATE | ME |
| WORKSITE POSTAL CODE | 04101 |
| LCA CASE WAGE RATE FROM | 160000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 149614 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Ford |
| PREPARER FIRST NAME | Russell |
| PREPARER MIDDLE INITIAL | C. |
| PREPARER BUSINESS NAME | FordMurray |
| PREPARER EMAIL | russell@fordmurraylaw.com |