if you need to create table in access database you can use OleDbConnection and OleDbCommand classes to do it, for example:
OleDbConnection conn = new OleDbConnection(connectionString);
OleDbCommand cmmd = new OleDbCommand("CREATE TABLE TableName ( [ID] Counter Primary Key, [FirstName] Text, [LastName] Text)", conn);
con.Open();
cmmd.ExecuteNonQuery();
refer
https://www.connectionstrings.com/access/[
^] for how you can give connection string for access database.