dismissed EB-2 NIW Case: Dentistry
Decision Summary
The appeal was dismissed because the petitioner failed to establish that his proposed endeavor, opening dental clinics, had national importance as required by the Dhanasar framework. The AAO determined that while the work has merit, its prospective impact was not shown to be national in scope, as the benefits cited (providing care, creating jobs, addressing shortages) are intrinsic to any dental practice and do not warrant a waiver of the job offer requirement.
Criteria Discussed
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U.S. Citizenship
and Immigration
Services
Non-Precedent Decision of the
Administrative Appeals Office
Date: MAR. 28, 2024 In Re: 30210923
Appeal of Texas Service Center Decision
Form 1-140, Immigrant Petition for Alien Workers (National Interest Waiver)
The Petitioner, a dental surgeon and entrepreneur, seeks employment-based second preference
(EB-2) immigrant classification as a member of the professions holding an advanced degree, as well
as a national interest waiver of the job offer requirement attached to this classification.
See Immigration and Nationality Act (the Act) section 203(b)(2), 8 U.S.C. ยง 1153(b)(2).
The Director of the Texas Service Center denied the petition, concluding that the record did not
establish the Petitioner's eligibility for the requested national interest waiver. The matter is now before
us on appeal. 8 C.F.R. ยง 103.3.
The Petitioner bears the burden of proof to demonstrate eligibility by a preponderance of the evidence.
Matter ofChawathe, 25 l&N Dec. 369, 375-76 (AAO 2010). We review the questions in this matter
de novo. Matter of Christo 's, Inc., 26 I&N Dec. 537, 537 n.2 (AAO 2015). Upon de novo review,
we will dismiss the appeal.
I. LAW
To establish eligibility for a national interest waiver, a petitioner must first demonstrate qualification
for the underlying EB-2 visa classification as either an advanced degree professional or an individual
of exceptional ability in the sciences, arts, or business. Section 203(b )(2)(B)(i) of the Act. An
advanced degree is any United States academic or professional degree or a foreign equivalent degree
above that of a bachelor's degree. A United States bachelor's degree or foreign equivalent degree
followed by five years of progressive experience in the specialty is the equivalent of a master's degree.
8 C.F.R. ยง 204.5(k)(2). If, however, a doctoral degree is customarily required by the profession, a
noncitizen must have a United States doctorate or a foreign equivalent degree. Id.
Once a petitioner demonstrates eligibility for the underlying EB-2 classification, they must then
establish that they merit a discretionary waiver of the job offer requirement "in the national interest."
Section 203(b )(2)(B)(i) of the Act. While neither the statute nor the pertinent regulations define the
term "national interest," Matter of Dhanasar, 26 l&N Dec. 884, 889 (AAO 2016), provides the
framework for adjudicating national interest waiver petitions. Dhanasar states that U.S. Citizenship
and Immigration Services (USCIS) may, as matter of discretion 1, grant a national interest waiver if
the petitioner demonstrates that:
โข The proposed endeavor has both substantial merit and national importance;
โข The individual is well-positioned to advance their proposed endeavor; and
โข On balance, waiving the job offer requirement would benefit the United States.
II. ANALYSIS
A. National Interest Waiver
The first Dhanasar prong, substantial merit and national importance, focuses on the specific endeavor
that the individual proposes to undertake. The endeavor's merit may be demonstrated in a range of
areas such as business, entrepreneurialism, science, technology, culture, health, or
education. Dhanasar, 26 I&N Dec. at 889. Id. In determining whether the proposed endeavor has
national importance, we consider its potential prospective impact. Id. We agree with Director's
determination that the Petitioner's proposed endeavor, which aims to improve the oral health of U.S.
patients, has substantial merit. Yet, the record does establish that the endeavor rises to the level of
national importance as contemplated in Dhanasar.
The record reflects that the Petitioner is an accomplished dental surgeon in Brazil who managed his
own dental practice prior to entering the United States. He intends to assume the position of oral and
maxillofacial surgeon/entrepreneur to examine, diagnose, and treat diseases, injuries, and
malformations of teeth and gums. More specifically, the Petitioner plans to develop and operate his
own dental clinics to provide dental consultations and diagnostic services for a variety of patients. The
Petitioner asserts that his proposed endeavor "to provide oral health services across underserved U.S.
regions is of national importance to the country, as it seeks to alleviate a nationwide health crisis," and
he will "impact the [d]ental [c]linic [s]ervices industry with a total payment of wages of 5.6 million
dollars in a total of [five] years of operation... generating 35 direct jobs for U.S. workers." The
Petitioner maintains he will "combat the rising crisis [in the dental industry] by 1) promoting oral
hygiene; 2) treating those currently unable to receive necessary dental services; 3) creating jobs in the
United States; and 4) training others in the field."
In support, the Petitioner provided a definitive statement, a five-year business plan, letters of
recognition from prior patients attesting to his expertise in delivering care to his patients, letters from
colleagues in the dental industry noting his participation on panel discussions at industry conferences,
a copy of an e-book he authored on melasma, and an expert opinion letter. The record also contains
articles and industry reports discussing the lack of affordable dental care in the United States,
anticipated nationwide and regional labor shortages in the dental health profession, and serious health
outcomes that can be linked to a lack of adequate dental care, along with articles detailing the economic
importance of immigrants and entrepreneurs to the U.S. economy. 2
1 See also Flores v. Garland, 72 F.4th 85, 88 (5th Cir. 2023) (joining the Ninth, Eleventh, and D.C. Circuit Courts (and
Third in an unpublished decision) in concluding that USCIS' decision to grant or deny a national interest waiver to be
discretionary in nature).
2 While we do not discuss each piece of evidence contained in the record individually, we have reviewed and considered
each one.
2
On appeal, the Petitioner generally asserts that the Director did not apply the correct burden of proof
and failed to properly consider the evidence establishing his experience in the field, the potential
impact of his proposed endeavor, and the shortage of dentists. Generally relying on the same
arguments previously put forth, he maintains that the evidence was sufficient to demonstrate that he
meets all three prongs under the Dhanasar framework.
The standard of proof in this proceeding is preponderance of the evidence, meaning that a petitioner
must show that what is claimed is "more likely than not" or "probably" true. Matter ofChawathe, 25
I&N Dec. at 375-76. To determine whether a petitioner has met the burden under the preponderance
standard, we consider not only the quantity, but also the quality (including relevance, probative value,
and credibility) of the evidence. Id.; Matter ofE-M-, 20 I&N Dec. 77, 79-80 (Comm'r 1989). Upon
de novo review of the record, we agree with Director's evaluation of the evidence, and conclude it
does not establish, by a preponderance of the evidence, that the Petitioner's proposed endeavor has
national importance as contemplated under the Dhanasar framework.
In disputing the Director's conclusion, the Petitioner continues to rely on the importance of oral health,
and the dentistry field. See Dhanasar, 26 I&N Dec. at 889. However, in evaluating national
importance, the relevant question is not the importance of the industry or profession in which the
individual will work; instead, we focus on the "the specific endeavor that the foreign national proposes
to undertake." Id.
While the Petitioner contends he has previously presented to other dentists in the field at industry
conferences, and published an e-book on the skin condition melasma, he noted that "upon my visa
acceptance, I will focus on the growth and development of my American company, expanding its
services, offerings, and economic capacities." The Petitioner has not indicated that he will continue
to present and publish materials for the field, nor does the Petitioner's business plan indicate he will
provide services related to melasma. Moreover, the Petitioner's expertise and record of success in
previous positions are considerations under Dhanasar 's second prong, which "shifts the focus from
the proposed endeavor to the foreign national." Id. at 890. The issue here is whether the Petitioner
has demonstrated, by a preponderance of the evidence, the national importance of his proposed work,
and we conclude that he has not shown that the prospective impact of his proposed endeavor, however
admirable, rises to the level of national importance.
The expert opinion letter and articles contained in the record rely on statistics intended to show that
there is a shortage of dentists in the United States, but this shortage is likewise insufficient to
demonstrate the national importance of any clinic or clinics that the Petitioner may eventually
establish. A shortage of qualified professionals alone does not render the work of an individual dentist
nationally important under the Dhanasar precedent decision ( and the Petitioner has not provided
evidence that his proposed endeavor would ameliorate the alleged U.S. shortage of dentists). Several
of the Petitioner's claims of national importance could reasonably apply to any dental practice, but
Congress did not provide a blanket exemption for dentists with respect to the job offer and labor
3
certification requirement. 3 Foreign dentists are typically subject to this requirement and therefore the
intrinsic benefits of operating a clinic are not presumptive grounds for waiving that requirement.
Likewise, the Petitioner's additional claims that his clinic or clinics will have substantial positive
economic effects are not persuasive. According to his business plan, the company will have a positive
impact on the dental clinic services industry and the U.S. economy due to its anticipated revenue of
$9.02 million in the first five years of operations, and $5.36 million in wages for 35 direct jobs in that
same time. Notably, the Petitioner provides no explanation for the basis of these revenue projections,
nor does he elaborate on how the proposed employment numbers will impact the area of intended
operations. Even if the endeavor's revenue and job creation projections were more than conjecture,
they nevertheless do not suggest that the endeavor would operate on a scale rising to the level of
national importance. While any basic economic activity has the potential to positively impact the
economy, the Petitioner has not demonstrated how the projected economic activity of his proposed
endeavor rises to the level of national importance. Moreover, the Petitioner continues to assert that
his endeavor is of national importance due to the shortage of qualified U.S. dentists, yet the business
plan offers no explanation as to how, given the stated shortage, the Petitioner would be able to employ
six dentists in the first five years of operations.
We note that the Petitioner chose the locations for his clinics due to their designation as Small Business
Administration HUBZones, which is "linked to a National Initiative and, therefore, of National
Importance." While the Petitioner indicated that he had plans to open operations in these locations,
the record does not contain any evidence establishing the company's physical location. Therefore, the
Petitioner has not offered sufficient evidence that his business will in fact be in a HUBZone, and the
Petitioner's business plan states that he does not qualify4 and does not intend to be eligible for the
HUBZone program. More importantly, the record does not adequately establish that increased
employment in these designated underutilized business zones would have positive economic effects
commensurate with national importance. Dhanasar, 26 I&N Dec. at 890. So, the fact that the
Petitioner's proposed endeavor may be in a HUB Zone does not establish that the Petitioner's endeavor
is of national importance.
The Petitioner has also indicated his intent to "train others in the field." While he does not elaborate
further, in Dhanasar, we determined that the petitioner's teaching activities did not rise to the level of
having national importance because they would not impact his field more broadly. 26 I&N Dec. at
893. The same reasoning applies here. The Petitioner has not shown that his future training activities,
if any, will have a significant national impact on the practice of dentistry in the United States. As
such, we conclude the record does not show that the Petitioner's proposed endeavor stands to
sufficiently extend beyond his own proposed practice and its patients to impact the oral health field or
the U.S. economy more broadly at a level commensurate with national importance.
3 The U.S. Department of Labor addresses shortages of qualified workers through the labor ceitification process. A
determination as to whether the benefits inherent in the labor certification process are outweighed by other favorable factors
relates to the balancing analysis set forth under the third prong of the Dhanasar analytical framework.
4 There are several required qualifications to participate in the program, including that the business seeking to participate
in the HUBZone program must be at least 51% owned by U.S. citizens, a community development corporation, an
agricultural cooperative, an Alaska Native corporation, a Native Hawaiian organization, or an Indian tribe.
4
For the reasons discussed, the Petitioner has not demonstrated that his proposed endeavor would be of
national importance, and he therefore does not meet the requirements of the first prong of the
Dhanasar analytical framework.
B. Eligibility for the Underlying Classification as an Advanced Degree Professional
While the Petition must be dismissed as the Petitioner has not satisfied prong one of the Dhanasar
framework, upon a de novo review of the record, we also withdraw the Director's determination that
the Petitioner is an advanced degree professional as the record does not support such a conclusion.
The Petitioner earned a bachelor of dentistry from _________ in 2004, and
subsequently completed two lato sensu post graduate courses: one in family health in 2004, and
another lato sensu specialization course in orofacial harmonization in 2021. Based on his foreign
education, and the academic credentials evaluation from Morningside Evaluations equating the
Petitioner's education to a doctor of dental surgery (DDS), the Director concluded that the Petitioner
established eligibility for the underlying EB-2 classification as a member of the professions holding
an advance degree. We disagree.
The regulatory definition of "advanced degree" states, in pertinent part:
A United States baccalaureate degree or a foreign equivalent degree followed by at
least five years of progressive experience in the specialty shall be considered the
equivalent of a master's degree. If a doctoral degree is customarily required by the
specialty, the alien must have a United States doctorate or a foreign equivalent degree.
8 C.F.R. ยง 204.5(k)(2) (emphasis added).
The Petitioner indicates that his proposed profession will be oral and maxillofacial surgeon/
entrepreneur, listing 29-1022 as the relevant SOC code for the proposed employment, and states in his
business plan that he will be employed as a dental surgeon for his dental clinic. The Petitioner also
provided printouts from Department of Labor resource O*NET, which indicates that at least a doctoral
degree is customarily required for entry into the profession. The Department of Labor's Occupational
Outlook Handbook also indicates that Dentists usually must have a DDS, or a doctor of medicine in
dentistry (DMD).
The evaluator from Morningside Evaluations states that they relied on the Petitioner's bachelor of
dentistry, along with his two lato sensu certificates to conclude that he had the foreign equivalent of a
U.S. DDS; however, the regulation defining "advanced degree" requires an individual to have a single
degree that is the "foreign equivalent" of a U.S. doctorate to qualify as an advanced degree
professional. We also reviewed the American Association of Collegiate Registrars and Admissions
Officers' Electronic Database for Global Education (EDGE)5. The database states that lato sensu programs
are for professional development and specialization, and lead toward professional certificates instead of
5 The EDGE database is a reliable resource concerning the U.S. equivalencies of foreign education. See generally American
Association of Collegiate Registrars and Admissions Officers, Electronic Database for Global Education,
https://www.aacrao.org/edge.
5
graduate degrees. Accordingly, the evaluation holds little probative value in this matter. We may, in
our discretion, use an evaluation of a person's foreign education as an advisory opinion. Matter ofSea,
Inc., 19 I&N Dec. 817, 820 (Comm'r 1988). However, where an opinion is not in accord with other
information or is in any way questionable, we may discount or give less weight to that evaluation.
The record does not establish that the Petitioner's bachelor of dentistry, nor his two lato sensu
certificates are a "foreign equivalent degree" to a DDS. 6 As such, the Petitioner has not demonstrated
that, at the time of filing the petition, he held the foreign equivalent degree of the doctoral degree required
for the profession, and therefore, has not established that he is a member of the professions holding an
advanced degree consistent with the regulatory definition at 8 C.F.R. ยง 204.5(k)(2). As the Petitioner
has not shown that the proposed endeavor is of national importance under prong one of the Dhanasar
analytical framework, it would serve no legal purpose to issue a request for evidence for further
investigation and analysis of the Petitioner's categorical eligibility for EB-2 classification.
Accordingly, the Petitioner should be prepared to address this is in any future filings.
III. CONCLUSION
The Petitioner has not established that he satisfies the regulatory requirements for classification as a
member of the professions holding an advanced degree. Furthermore, as the Petitioner has not met
the requisite first prong of the Dhanasar analytical framework, we conclude that he has not established
he is eligible for or otherwise merits a national interest waiver as a matter of discretion. Since the
identified basis for denial is dispositive of the Petitioner's appeal, we decline to reach and hereby
reserve the Petitioner's eligibility and appellate arguments under Dhanasar's second and third prongs.
See INS v Bagamasbad, 429 U.S. 24, 25 ("courts and agencies are not required to make findings on
issues the decision of which is unnecessary to the results they reached"); see also Matter of L-A-C-,
26 I&N Dec. 516, 526 n.7 (BIA 2015) (declining to reach alternative issues on appeal where an
applicant is otherwise ineligible).
ORDER: The appeal is dismissed.
6 We note that, according to EDGE, the title of dental surgeon degree is the equivalent of a level of education comparable
to a first professional degree in dentistry in the United States.
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