| LCA CASE NUMBER | I-200-24292-416332 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-10-18 |
| DECISION DATE | 2024-10-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Oral Surgeon |
| SOC CODE | 29-1022 |
| SOC TITLE | Oral and Maxillofacial Surgeons |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-11-25 |
| END DATE | 2027-11-25 |
| 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 | CO Specialty Dental Services PLLC |
| EMPLOYER ADDRESS1 | 210 Executive Center Parkway |
| EMPLOYER CITY | Fredericksburg |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 22401 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16156780757 |
| EMPLOYER FEIN | 86-3788338 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Burg |
| EMPLOYER POC FIRST NAME | Jeffrey |
| EMPLOYER POC JOB TITLE | Chief Dental Officer |
| EMPLOYER POC ADDRESS1 | 1610 54th Ave N |
| EMPLOYER POC ADDRESS2 | Suite #205 |
| EMPLOYER POC CITY | Nashville |
| EMPLOYER POC STATE | TN |
| EMPLOYER POC POSTAL CODE | 37209 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16156780757 |
| EMPLOYER POC EMAIL | Jeff.Burg@sdbmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Roach |
| AGENT ATTORNEY FIRST NAME | Charles |
| AGENT ATTORNEY MIDDLE NAME | Arthur |
| AGENT ATTORNEY ADDRESS1 | 150 South Fifth Street |
| AGENT ATTORNEY ADDRESS2 | Suite 3460 |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55402 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16124861631 |
| AGENT ATTORNEY EMAIL ADDRESS | croach@fordharrison.com |
| LAWFIRM NAME BUSINESS NAME | Ford & Harrison LLP |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Minnesota Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 210 Executive Center Parkway |
| LCA CASE WORKLOC1 CITY | Fredericksburg |
| WORKSITE COUNTY | SPOTSYLVANIA |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 22401 |
| LCA CASE WAGE RATE FROM | 239200 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 239200 |
| PW UNIT OF PAY | Year |
| 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 |