| CASE NUMBER | I-200-24176-143051 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/24/2024 |
| DECISION DATE | 7/1/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | General Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| BEGIN DATE | 8/1/2024 |
| END DATE | 7/31/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | myDental at Anderson Mill PLLC |
| TRADE NAME DBA | MyDental |
| EMPLOYER ADDRESS1 | 13000 North IH-35 |
| EMPLOYER ADDRESS2 | Suite 206 |
| EMPLOYER CITY | Austin |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 78753 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +15125960021 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 6212 |
| EMPLOYER POC LAST NAME | Patel |
| EMPLOYER POC FIRST NAME | Tushar |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 13000 North IH-35 |
| EMPLOYER POC ADDRESS2 | Suite 206 |
| EMPLOYER POC CITY | Austin |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 78753 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +15102921544 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | trpatel@novomn.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Berner |
| AGENT ATTORNEY FIRST NAME | Daniel |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 7000 N Mopac Expwy |
| AGENT ATTORNEY ADDRESS2 | suite 200 |
| AGENT ATTORNEY CITY | Austin |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 78731 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +15128269468 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | dberner@bernerlawfirm.com |
| LAWFIRM NAME BUSINESS NAME | Berner Law PLLC |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Texas |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Yes |
| SECONDARY ENTITY BUSINESS NAME | myDental at Tech Ridge |
| WORKSITE ADDRESS1 | 13000 North IH-35 |
| WORKSITE ADDRESS2 | Suite 206 |
| WORKSITE CITY | Austin |
| WORKSITE COUNTY | WILLIAMSON |
| WORKSITE STATE | TX |
| WORKSITE POSTAL CODE | 78753 |
| WAGE RATE OF PAY FROM | 168,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $96,346.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Hatala |
| PREPARER FIRST NAME | Amanda |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | Berner Chawla PLLC |
| PREPARER EMAIL | amanda@bernerlawfirm.com |
| BEGIN DATE CONVERTED | 2024-01-08 |
