| LCA CASE NUMBER | I-200-24151-049789 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-05-29 |
| DECISION DATE | 2024-06-05 |
| 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 | 2024-10-01 |
| END DATE | 2027-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Mason Dental, PC |
| TRADE NAME DBA | Family Dental Associates |
| EMPLOYER ADDRESS1 | 4 General Wing Road |
| EMPLOYER CITY | Rutland |
| EMPLOYER STATE | VT |
| EMPLOYER POSTAL CODE | 05701 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18027750819 |
| NAICS CODE | 62121 |
| EMPLOYER POC LAST NAME | Mason |
| EMPLOYER POC FIRST NAME | Jonathan |
| EMPLOYER POC JOB TITLE | Chief Clinical Officer |
| EMPLOYER POC ADDRESS1 | 4 General Wing Road |
| EMPLOYER POC CITY | Rutland |
| EMPLOYER POC STATE | VT |
| EMPLOYER POC POSTAL CODE | 05701 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18605804687 |
| EMPLOYER POC EMAIL | jmason@selectdentalmanagement.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Fillo |
| AGENT ATTORNEY FIRST NAME | Allison |
| AGENT ATTORNEY MIDDLE NAME | Ahern |
| AGENT ATTORNEY ADDRESS1 | One Boston Place |
| AGENT ATTORNEY ADDRESS2 | 37th Floor |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 02108 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16175893836 |
| AGENT ATTORNEY EMAIL ADDRESS | aahernfillo@davismalm.com |
| LAWFIRM NAME BUSINESS NAME | Davis, Malm & D'Agostine, P.C. |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Massachusetts Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 4 General Wing Road |
| LCA CASE WORKLOC1 CITY | Rutland |
| WORKSITE COUNTY | RUTLAND CITY |
| LCA CASE WORKLOC1 STATE | VT |
| WORKSITE POSTAL CODE | 05701 |
| LCA CASE WAGE RATE FROM | 103147 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 103147 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |