Fiscal Year

2024

Case Number

A-23059-06584

Case Status

Certified

Received Date

2023-05-10

Decision Date

2024-06-05

Refile

N

Original File Date

2024-01-01 01:37:37

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

LAKEWOOD FAMILY DENTAL INC

Employer Name Slug

lakewood-family-dental-inc

Employer Address 1

4512 PARNELL AVE

Employer Address 2

Employer City

FORT WAYNE

Employer City Slug

fort-wayne

Employer State

INDIANA

Employer State Slug

indiana

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

46825

Employer Phone

2603991333

Employer Number of Employees

28

Employer Year Commenced Business

2014

NAICS Code

621210

FW Ownership Interest

N

Employer Contact Name

Srinivasulu Kakollu

Employer Contact Address 1

4512 Parnell Ave

Employer Contact Address 2

Employer Contact City

FORT WAYNE

Employer Contact State/Province

INDIANA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

46825

Employer Contact Phone

2603991333

Employer Contact Email

SKAKOLLU@LAKEWOOD-FAMILYDENTAL.COM

Agent Attorney Name

KELLIE N LEGO

Agent Attorney Firm Name

MVP LAW GROUP, PA

Agent Attorney Phone

240-390-0600

Agent Attorney Address 1

1177 ANNAPOLIS RD. #70

Agent Attorney Address 2

Agent Attorney City

ODENTON

Agent Attorney State/Province

MARYLAND

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

21113

Agent Attorney Email

KELLIE@MVPLG.COM

PW Track Number

P10022209382922

PW SOC Code

29-1021

PW SOC Title

Dentists, General

PW Skill Level

Level I

PW Wage

102440.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2023-02-07

PW Expiration Date

2023-06-30

Wage Offer From

102440.00

Wage Offer To

0.00

Average Salary

102440.00

Wage Unit of Pay

Year

Worksite Address 1

4512 PARNELL AVENUE; AND

Worksite Address 2

VARIOUS LOCATIONS ZIP CODES 46825, 46016, 46032, 46902, 47905

Worksite City

FORT WAYNE

Worksite City Slug

fort-wayne

Worksite State

INDIANA

Worksite Postal Code

46825

Job Title

ASSOCIATE DENTIST

Job Title Slug

associate-dentist

Minimum Education

Other

Major Field of Study

DENTAL SURGERY, DENTAL MEDICINE

Required Training

N

Required Experience

Y

Required Experience Months

12

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

N

Accept Alternative Combination Education

Accept Alternative Combination Education Years

Accept Foreign Education

Y

Accept Alternative Occupation

N

Accept Alternative Occupation Months

Accept Alternative Job Title

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

INDIANA STATE DENTAL LICENSE;br KNOWLEDGE OF THE DIAGNOSIS AND TREATMENT OF ORAL AND DENTAL CONDITIONS; ANDbr TRAVEL WILL BE REQUIRED TO MULTIPLE DENTAL OFFICE LOCATIONS IN INDIANA ZIP CODES 46825, 46016, 46032, 46902, 47905

Combination Occupation

N

Offered to Applicant Foreign Worker

Y

Foreign Worker Live on Premises

N

Foreign Worker Live in Domestic Service

N

Foreign Worker Live in Domestic Service Count

Professional Occupation

Y

Application for College/University Teacher

N

SWA Job Order Start Date

2023-02-08

SWA Job Order End Date

2023-03-15

Sunday Edition Newspaper

Y

First Newspaper Name

THE JOURNAL GAZETTE PUBLISHED ON SAT SUN

First Advertisement Start Date

2023-02-12

Second Newspaper Ad Name

THE JOURNAL GAZETTE PUBLISHED ON SAT SUN

Second Advertisement Type

Newspaper

Second Ad Start Date

2023-02-19

Employer Website From Date

2023-02-10

Employer Website To Date

2023-02-27

Professional Organization Ad From Date

2024-01-01 01:37:37

Professional Organization Advertisement To Date

2024-01-01 01:37:37

Job Search Website From Date

2023-02-15

Job Search Website To Date

2023-02-28

Employee Referral Program From Date

2024-01-01 01:37:37

Employee Referral Program To Date

2024-01-01 01:37:37

Local Ethnic Paper From Date

2023-04-07

Local Ethnic Paper To Date

2023-04-07

Radio/TV Ad From Date

2024-01-01 01:37:37

Radio/TV Ad To Date

2024-01-01 01:37:37

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

INDIA

Foreign Worker Birth Country

INDIA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

DENTAL SURGERY

Foreign Worker Years of Education Completed

2015

Foreign Worker Institution of Education

UNIVERSITY OF SOUTHERN CALIFORNIA

Foreign Worker Education Institution Address 1

3551 TROUSDALE PKWY

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

LOS ANGELES

Foreign Worker Education Institution State/Province

CA

Foreign Worker Education Institution Country

UNITED STATES OF AMERICA

Foreign Worker Education Institution Postal Code

90089

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

N

Preparer Name

KELLIE N LEGO

Preparer Title

ATTORNEY

Preparer Email

KELLIE@MVPLG.COM

Employer Information Declaration Name

SRINIVASULU KAKOLLU

Employer Information Declaration Title

DIRECTOR