This paper is the conclusion of a series that lays the groundwork for a structure and classification theory of second-order superintegrable systems, both classical and quantum, in conformally flat spaces. For two-dimensional and for conformally flat three-dimensional spaces with nondegenerate potentials we have worked out the structure of the classical systems and shown that the quadratic algebra always closes at order 6. Here we describe the quantum analogs of these results. We show that, for nondegenerate potentials, each classical system has a unique quantum extension. We also correct an error in an earlier paper in the series (that does not alter the structure results) and we elucidate the distinction between superintegrable systems with bases of functionally linearly independent and functionally linearly dependent symmetries.