| LCA CASE NUMBER | I-200-25092-823362 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2025-04-02 |
| DECISION DATE | 2025-04-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Periodontist |
| SOC CODE | 29-1029 |
| SOC TITLE | Dentists, All Other Specialists |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2025-04-14 |
| END DATE | 2028-04-13 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | MORTENSON DENTAL HEALTH, LLC |
| EMPLOYER ADDRESS1 | 10300 LINN STATION RD |
| EMPLOYER ADDRESS2 | SUITE 100 |
| EMPLOYER CITY | LOUISVILLE |
| EMPLOYER STATE | KY |
| EMPLOYER POSTAL CODE | 40223 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15022548500 |
| EMPLOYER FEIN | 82-3002104 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | CROUCH |
| EMPLOYER POC FIRST NAME | MATTHEW |
| EMPLOYER POC JOB TITLE | HUMAN RESOURCE BUSINESS PARTNER |
| EMPLOYER POC ADDRESS1 | 10300 LINN STATION RD |
| EMPLOYER POC ADDRESS2 | SUITE 100 |
| EMPLOYER POC CITY | LOUISVILLE |
| EMPLOYER POC STATE | KY |
| EMPLOYER POC POSTAL CODE | 40223 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15026413232 |
| EMPLOYER POC EMAIL | Matthew.Crouch@mdpweb.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | GUNN |
| AGENT ATTORNEY FIRST NAME | MATTHEW |
| AGENT ATTORNEY MIDDLE NAME | P |
| AGENT ATTORNEY ADDRESS1 | 13100 EASTPOINT PARK BLVD. |
| AGENT ATTORNEY ADDRESS2 | SUITE 200 |
| AGENT ATTORNEY CITY | LOUISVILLE |
| AGENT ATTORNEY STATE | KY |
| AGENT ATTORNEY POSTAL CODE | 40223 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15029172003 |
| AGENT ATTORNEY EMAIL ADDRESS | mgunn@gmvisalaw.com |
| LAWFIRM NAME BUSINESS NAME | Gunn Menefee LLC |
| STATE OF HIGHEST COURT | KY |
| NAME OF HIGHEST STATE COURT | KENTUCKY SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 6443 W 10th St |
| WORKSITE ADDRESS2 | #204 |
| LCA CASE WORKLOC1 CITY | Indianapolis |
| WORKSITE COUNTY | MARION |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46214 |
| LCA CASE WAGE RATE FROM | 100 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 65.53 |
| PW UNIT OF PAY | Hour |
| 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 | BIGARD |
| PREPARER FIRST NAME | BRIDGET |
| PREPARER BUSINESS NAME | GUNN MENEFEE LLC |
| PREPARER EMAIL | bbigard@gmvisalaw.com |