All Details of Green Card Application:

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Case Number: A-20072-30042

Fiscal year: 2021

Fiscal Year

2021

Case Number

A-20072-30042

Case Status

Certified-Expired

Received Date

2020-06-11

Decision Date

2020-12-04

Refile

N

Original File Date

2021-01-01 08:53:34

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Childrens Dental Health Associates, LLC

Employer Name Slug

childrens-dental-health-associates-llc

Employer Address 1

200 Willowbrook Lane

Employer Address 2

Suite 220

Employer City

West Chester

Employer City Slug

west-chester

Employer State

PENNSYLVANIA

Employer State Slug

pennsylvania

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

19382

Employer Phone

5437336825

Employer Number of Employees

1234

Employer Year Commenced Business

2016

NAICS Code

621210

FW Ownership Interest

N

Employer Contact Name

Matthew Shaffer

Employer Contact Address 1

200 Willowbrook Lane

Employer Contact Address 2

Suite 220

Employer Contact City

West Chester

Employer Contact State/Province

PENNSYLVANIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

19382

Employer Contact Phone

6107428828

Employer Contact Email

mshaffer@childrensdentalhealth.com

Agent Attorney Name

Jenifer M Brown

Agent Attorney Firm Name

Ice Miller LLP

Agent Attorney Phone

3172362242

Agent Attorney Address 1

One American Square

Agent Attorney Address 2

Suite 2900

Agent Attorney City

Indianapolis

Agent Attorney State/Province

INDIANA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

462820200

Agent Attorney Email

jenifer.brown@icemiller.com

PW Track Number

P10019330167419

PW SOC Code

29-1029

PW SOC Title

Dentists, All Other Specialists

PW Skill Level

Level I

PW Wage

79165.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-03-18

PW Expiration Date

2020-06-30

Wage Offer From

100298.00

Wage Offer To

0.00

Average Salary

100298.00

Wage Unit of Pay

Year

Worksite Address 1

2820 Whiteford Road See H.14

Worksite Address 2

Unit 1

Worksite City

York

Worksite City Slug

york

Worksite State

PENNSYLVANIA

Worksite Postal Code

17402

Job Title

Pediatric Dentist

Job Title Slug

pediatric-dentist

Minimum Education

Other

Major Field of Study

see H.14

Required Training

N

Required Experience

N

Required Experience Months

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

1. DDSDMD from dental education program accredited by the Commission on Dental Accreditation.br 2. Current, valid license to practice dentistry in PA license must be in good standing.br 3. Active PA anesthesia restricted 2 license.br 4. Active BLS certification.br 5. No sanctions for Medicare or Medicaid.br 6. Medical software such as Dentrix; dental imaging software; dental charting software; and Microsoft Office suite of software.br br Locations of employmentbr 2820 Whiteford Road, Unit 1 York, PA 17402;br 4 Flowers Dr. Suite 4 Mechanicsburg, PA 17050;br 4230 Crums Mill Rd, 2nd Floor, Harrisburg, PA 17112

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

2020-01-29

SWA Job Order End Date

2020-03-01

Sunday Edition Newspaper

Y

First Newspaper Name

The Philadelphia Inquirer

First Advertisement Start Date

2020-02-02

Second Newspaper Ad Name

The Philadelphia Inquirer

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-02-09

Employer Website From Date

2020-01-27

Employer Website To Date

2020-03-08

Professional Organization Ad From Date

2021-01-01 08:53:34

Professional Organization Advertisement To Date

2021-01-01 08:53:34

Job Search Website From Date

2020-02-02

Job Search Website To Date

2020-03-02

Employee Referral Program From Date

2021-01-01 08:53:34

Employee Referral Program To Date

2021-01-01 08:53:34

Local Ethnic Paper From Date

2021-01-01 08:53:34

Local Ethnic Paper To Date

2021-01-01 08:53:34

Radio/TV Ad From Date

2021-01-01 08:53:34

Radio/TV Ad To Date

2021-01-01 08:53:34

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

KENYA

Foreign Worker Birth Country

KENYA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

DENTISTRY

Foreign Worker Years of Education Completed

2016

Foreign Worker Institution of Education

UNIVERSITY OF PENNSYLVANIA SCHOOL OF DENTISTRY

Foreign Worker Education Institution Address 1

240 S 40TH ST

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

PHILADELPHIA

Foreign Worker Education Institution State/Province

PA

Foreign Worker Education Institution Country

UNITED STATES OF AMERICA

Foreign Worker Education Institution Postal Code

19104

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

Jenifer M Brown

Preparer Title

Attorney

Preparer Email

jenifer.brown@icemiller.com

Employer Information Declaration Name

Bridget Jackson

Employer Information Declaration Title

Human Resources Director