Birner Dental Management Services (BDMS) 8-K Changes in Registrant's Certifying Accountant

Exhibit 16.1

November 22, 2017

Securities and Exchange Commission

Washington, D.C. 20549

Commissioners:

We have read Birner Dental Management Services, Inc.’s statements included under Item 4.01 of its Form 8-K filed on November 22, 2017 and we agree with such statements concerning our firm.

/s/ Hein & Associates LLP