<?xml version="1.0"?>
<!-- - EDGAR Ease Plus 1.0                                   07/25/03  TT    -->
<ownershipDocument>
    <schemaVersion>X0201</schemaVersion>

    <documentType>4</documentType>
   <periodOfReport>2003-10-07</periodOfReport>
   <notSubjectToSection16>0</notSubjectToSection16>
    <issuer>
        <issuerCik>0000948072</issuerCik>
        <issuerName>BIRNER DENTAL MANAGEMENT SERVICES INC</issuerName>
        <issuerTradingSymbol>BDMS</issuerTradingSymbol>
   </issuer>
   <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001056539</rptOwnerCik>
            <rptOwnerName>BIRNER MARK A</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>BIRNER DENTAL MANGEMENT SERVICES INC</rptOwnerStreet1>
            <rptOwnerStreet2>3801 EAST FLORIDA AVE SUITE 508</rptOwnerStreet2>
            <rptOwnerCity>DENVER</rptOwnerCity>
            <rptOwnerState>CO</rptOwnerState>
            <rptOwnerZipCode>80210</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
            <reportingOwnerRelationship>
         <isDirector>1</isDirector>
         <isOfficer>1</isOfficer>
         <isTenPercentOwner>1</isTenPercentOwner>
         <isOther>0</isOther>
         <officerTitle>President</officerTitle>
      </reportingOwnerRelationship>
   </reportingOwner>
 <derivativeTable>
   <derivativeTransaction>
      <securityTitle>
         <value>Stock Options (Right to Buy)</value>
            <footnoteId id="F1"/>
            <footnoteId id="F2"/>
            <footnoteId id="F3"/>
      </securityTitle>
      <conversionOrExercisePrice>
         <value>21.45</value>
      </conversionOrExercisePrice>
      <transactionDate>
         <value>2003-10-07</value>
      </transactionDate>
      <deemedExecutionDate>
         <value>2003-10-07</value>
      </deemedExecutionDate>
      <transactionCoding>
         <transactionFormType>4</transactionFormType>
         <transactionCode>E</transactionCode>
         <equitySwapInvolved>0</equitySwapInvolved>
      </transactionCoding>
      <transactionAmounts>
         <transactionShares>
           <value>2500</value>
         </transactionShares>
         <transactionPricePerShare>
           <value>0</value>
         </transactionPricePerShare>
         <transactionAcquiredDisposedCode>
           <value>D</value>
         </transactionAcquiredDisposedCode>
      </transactionAmounts>
      <exerciseDate>
         <value>1999-10-07</value>
      </exerciseDate>
      <expirationDate>
         <value>2003-10-07</value>
      </expirationDate>
      <underlyingSecurity>
         <underlyingSecurityTitle>
           <value>Common Stock</value>
         </underlyingSecurityTitle>
         <underlyingSecurityShares>
           <value>2500</value>
         </underlyingSecurityShares>
      </underlyingSecurity>
      <postTransactionAmounts>
         <sharesOwnedFollowingTransaction>
           <value>0</value>
         </sharesOwnedFollowingTransaction>
      </postTransactionAmounts>
      <ownershipNature>
         <directOrIndirectOwnership>
           <value>D</value>
         </directOrIndirectOwnership>
      </ownershipNature>
   </derivativeTransaction>
 </derivativeTable>
   <footnotes>
      <footnote id="F1"> Title of Non-Derivative Security: Common Stock, Amount Beneficially Owned-179,172, Direct Ownership</footnote>

      <footnote id="F2"> Warrants (Right to Buy), $5.06 Conversion Price, Expiration Date 02/11/2007, Title of Security-Common Stock, Amount of Securities Beneficially Owned-10,000, Direct Ownership</footnote>

      <footnote id="F3"> Stock Options(Right to Buy), $11.68 Conversion Price, Expiration Date 01/02/2008, Title of Security-Common Stock, Amount of Securities Beneficially Owned-33,333, Direct Ownership</footnote>
   </footnotes>
   <ownerSignature>
      <signatureName>Mark A. Birner</signatureName>
      <signatureDate>2003-10-08</signatureDate>
   </ownerSignature>
</ownershipDocument>

