| LCA CASE NUMBER | I-200-24240-297705 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-08-27 |
| DECISION DATE | 2024-09-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatric Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-11-01 |
| END DATE | 2027-10-31 |
| 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 | Main Street Children's Dentistry and Orthodontics of Glen Burnie |
| TRADE NAME DBA | PDOM Glen Burnie, LLC |
| EMPLOYER ADDRESS1 | 7671 Quarterfield Road |
| EMPLOYER ADDRESS2 | STE 400 |
| EMPLOYER CITY | Glen Burnie |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 21061 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19419553150 |
| EMPLOYER PHONE EXT | 7550 |
| EMPLOYER FEIN | 27-2237292 |
| NAICS CODE | 6212 |
| EMPLOYER POC LAST NAME | Johnson |
| EMPLOYER POC FIRST NAME | Julie |
| EMPLOYER POC JOB TITLE | Legal and Compliance Coordinator |
| EMPLOYER POC ADDRESS1 | 6240 Lake Osprey Drive |
| EMPLOYER POC CITY | Sarasota |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 34240 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19419553150 |
| EMPLOYER POC PHONE EXT | 7500 |
| EMPLOYER POC EMAIL | JJohnson@dentalcarealliance.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Mattingly |
| AGENT ATTORNEY FIRST NAME | Alix |
| AGENT ATTORNEY ADDRESS1 | 100 North Tampa St |
| AGENT ATTORNEY ADDRESS2 | Suite 3600 |
| AGENT ATTORNEY CITY | Tampa |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 33602 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18132217455 |
| AGENT ATTORNEY EMAIL ADDRESS | alix.mattingly@ogletreedeakins.com |
| LAWFIRM NAME BUSINESS NAME | Ogletree, Deakins, Nash, Smoak & Stewart, P.C. |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Virginia |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 7671 Quarterfield Road |
| WORKSITE ADDRESS2 | Suite 400 |
| LCA CASE WORKLOC1 CITY | Glen Burnie |
| WORKSITE COUNTY | ANNE ARUNDEL |
| LCA CASE WORKLOC1 STATE | MD |
| WORKSITE POSTAL CODE | 21061 |
| LCA CASE WAGE RATE FROM | 300000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 296046 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 | Mattingly |
| PREPARER FIRST NAME | Alix |
| PREPARER BUSINESS NAME | Ogletree, Deakins, Nash, Smoak & Stewart, P.C. |
| PREPARER EMAIL | taylor.langlais@ogletreedeakins.com |