Fiscal Year

2021

Case Number

A-20289-10587

Case Status

Certified

Received Date

2020-10-23

Decision Date

2021-05-18

Refile

N

Original File Date

2021-01-01 09:24:27

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Professional Dental Services of Indiana PC

Employer Name Slug

professional-dental-services-of-indiana-pc

Employer Address 1

532 E 81st Ave

Employer Address 2

Employer City

Merrilville

Employer City Slug

merrilville

Employer State

INDIANA 46410

Employer State Slug

indiana-46410

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

46410

Employer Phone

913-355-1121

Employer Number of Employees

250

Employer Year Commenced Business

2020

NAICS Code

621210

FW Ownership Interest

N

Employer Contact Name

Courtney Foster

Employer Contact Address 1

10601 Mission Road Ste 240

Employer Contact Address 2

Employer Contact City

Leawood

Employer Contact State/Province

KANSAS

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

66206

Employer Contact Phone

913-355-1121 12

Employer Contact Email

cfoster@brighttiger.com

Agent Attorney Name

Debra Schneider

Agent Attorney Firm Name

Fredrikson Byron PA

Agent Attorney Phone

6124927214

Agent Attorney Address 1

200 S. 6th Street, Suite 4000

Agent Attorney Address 2

Agent Attorney City

Minneapolis

Agent Attorney State/Province

MINNESOTA 46410

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

55402

Agent Attorney Email

dschneider@fredlaw.com

PW Track Number

P10020085434304

PW SOC Code

29-1021

PW SOC Title

Dentists, General

PW Skill Level

Level I

PW Wage

86902.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-06-30

PW Expiration Date

2020-09-28

Wage Offer From

86902.00

Wage Offer To

0.00

Average Salary

86902.00

Wage Unit of Pay

Year

Worksite Address 1

532 E 81st Ave

Worksite Address 2

Worksite City

Merrillville

Worksite City Slug

merrillville

Worksite State

INDIANA

Worksite Postal Code

46410

Job Title

Dentist

Job Title Slug

dentist

Minimum Education

Other

Major Field of Study

Dentistry

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

Y

Accept Alternative Occupation Months

24

Accept Alternative Job Title

General Dentistry or General Practice Residence or Fellowship

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

Current state license in good standing and eligibility to practice dentistry in the state of Indiana, and Controlled Substance Registration Certificate DEA registration from US Department of Justice, Drug Enforcement Administration. Must work 12 hour shifts and some weekends. Must have experience performing oral surgery and endodontic procedures. DDS or DMD from an accredited dental school or equivalent, and 2 years of experience in general dentistry or general practice residence.

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

2020-07-15

SWA Job Order End Date

2020-08-17

Sunday Edition Newspaper

Y

First Newspaper Name

Northwest Indiana Times

First Advertisement Start Date

2020-08-16

Second Newspaper Ad Name

Northwest Indiana Times

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-08-23

Employer Website From Date

2021-01-01 09:24:27

Employer Website To Date

2021-01-01 09:24:27

Professional Organization Ad From Date

2020-08-13

Professional Organization Advertisement To Date

2020-09-12

Job Search Website From Date

2020-08-17

Job Search Website To Date

2020-08-28

Employee Referral Program From Date

2021-01-01 09:24:27

Employee Referral Program To Date

2021-01-01 09:24:27

Local Ethnic Paper From Date

2021-01-01 09:24:27

Local Ethnic Paper To Date

2021-01-01 09:24:27

Radio/TV Ad From Date

2021-01-01 09:24:27

Radio/TV Ad To Date

2021-01-01 09:24:27

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

NIGERIA

Foreign Worker Birth Country

NIGERIA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

DENTAL SURGERY

Foreign Worker Years of Education Completed

2014

Foreign Worker Institution of Education

INDIANA UNIVERSITY

Foreign Worker Education Institution Address 1

SCHOOL OF DENTISTRY

Foreign Worker Education Institution Address 2

1121 W MICHIGAN STREET

Foreign Worker Education Institution City

CHICAGO

Foreign Worker Education Institution State/Province

IL

Foreign Worker Education Institution Country

UNITED STATES OF AMERICA

Foreign Worker Education Institution Postal Code

46202

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

Debra A Schneider

Preparer Title

Attorney

Preparer Email

dschneider@fredlaw.com

Employer Information Declaration Name

Courtney Foster

Employer Information Declaration Title

Director of People Operations and Talent