Assuming you have some kind of driver that connects to the Access database,
you can execute a DDL query to CREATE TABLE.
Here's an example of executing a DDL statement to create a table:
http://allenbrowne.com/func-DDL.html#CreateTableDDL
The example is VBA code, but the SQL statement would be similar in whatever
language and connection you use from VB.NET.

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Allen Browne - Microsoft MVP. Perth, Western Australia
Tips for Access users - http://allenbrowne.com/tips.html
Reply to group, rather than allenbrowne at mvps dot org.
> Is it possible to create a table via code (create table ........) in an
> access 2007 database from a Vb.net 2008 application?
>
> Any tips/samples/links on how to do this ?